Michael Kennedy, CRNA
NPI 1063414738 · Certified Registered Nurse Anesthetist · Coon Rapids, MN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Kennedy, CRNA is a Certified Registered Nurse Anesthetist provider in Coon Rapids, MN (NPI 1063414738).
Provider details
- NPI number
- 1063414738
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- R 093139-9 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-12
- Last updated
- 2008-05-15
Frequently asked questions
- What is Michael Kennedy's NPI number?
- Michael Kennedy's National Provider Identifier (NPI) is 1063414738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Kennedy's specialty?
- Michael Kennedy is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michael Kennedy located?
- Michael Kennedy's practice location on file with NPPES is 8990 Springbrook Dr Nw, Coon Rapids, MN 55433-5884.
- What is Michael Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Michael Kennedy is (763) 398-0099.
- Does Michael Kennedy accept Medicare?
- Michael Kennedy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Kennedy's NPI active?
- Yes — Michael Kennedy's NPI (1063414738) is active in the NPPES registry as of the last update on 2008-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.