Andrea Marie Kennedy (NPI# 1831321348, PAC ID# 9234368838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831321348 |
| PAC ID by PECOS | 9234368838 |
| Professional Enrollment ID | I20140130001524 |
| Full Name | Andrea Marie Kennedy |
| Organization Legal Name | THE NEIGHBORHOOD CLINIC, PLLC |
| Address |
2036 N Cole Rd Boise ID 83704-7309 |
| Phone Number | 2083750722 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709190861 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130007 | SAINT ALPHONSUS REGIONAL MEDICAL CENTER |
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2036 N Cole Rd, Boise, ID 83704-7309 | 2083750722 | THE NEIGHBORHOOD CLINIC, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 93% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 1% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 22% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 4% | |
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 69% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | THE NEIGHBORHOOD CLINIC, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra L Burleigh-gilbert | Nurse Practitioner | The Neighborhood Clinic, Pllc | 2036 N Cole Rd, Boise, ID 83704-7309 |
| Katherine T Coate | Nurse Practitioner | The Neighborhood Clinic, Pllc | 2036 N Cole Rd, Boise, ID 83704-7309 |
| Street Address |
2036 N COLE RD |
| City | BOISE |
| State | ID |
| Zip | 83704-7309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra L Burleigh-gilbert | Nurse Practitioner | The Neighborhood Clinic, Pllc | 2036 N Cole Rd, Boise, ID 83704-7309 |
| Katherine T Coate | Nurse Practitioner | The Neighborhood Clinic, Pllc | 2036 N Cole Rd, Boise, ID 83704-7309 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tobin E Hill | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Adrian J Curnow | Pediatric Medicine | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Julia K Bouchard | Obstetrics/gynecology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 200 Samg Heart Care Boise Moreau, Boise, ID 83704-0107 |
| Steven J Fonken | Interventional Cardiology | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, Boise, ID 83704-0107 |
| Ellis J Salloum | Vascular Surgery | Saint Alphonsus Regional Medical Center Inc | 6140 W Curtisian Ave, Boise, ID 83704-0109 |
| Samantha J Benfield | Nurse Practitioner | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 102 Samg Cardiothoracic Services Boise, Boise, ID 83704-0109 |
| Calvin T Jewell | General Surgery | Saint Alphonsus Specialty Services Inc | 6140 W Curtisian Ave, 100 Samg General Surgery Suite 100, Boise, ID 83704-0109 |
| Noah Blue Edvalson | Chiropractic | 3224 N Maple Grove Rd, Boise, ID 83704-4214 | |
| Christopher A Waters | Clinical Psychologist | Living Hope Clinic Inc | 3308 N Cole Rd A, Boise, ID 83704-4407 |
| Charles M Rice | Psychologist, Clinical | 3308 N Cole Rd, Suite A, Boise, ID 83704-4407 | |
| Find all physicians in zip 83704 | |||
| City | BOISE |
| Zip Code | 83704 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BOISE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Andrea Marie Kennedy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.