Miranda Kennedy
NPI 1902266992 · Family Nurse Practitioner · Rockford, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Miranda Kennedy is a Family Nurse Practitioner provider in Rockford, IL (NPI 1902266992).
Provider details
- NPI number
- 1902266992
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 041398969 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 5405 N Knoxville AvePeoria, IL 61614-5016Phone: (309) 691-4410Fax: (309) 692-4730
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2019-04-09
Frequently asked questions
- What is Miranda Kennedy's NPI number?
- Miranda Kennedy's National Provider Identifier (NPI) is 1902266992, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Miranda Kennedy's specialty?
- Miranda Kennedy is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Miranda Kennedy located?
- Miranda Kennedy's practice location on file with NPPES is 2222 E State St Ste 209, Rockford, IL 61104-1572.
- What is Miranda Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Miranda Kennedy is (815) 988-8500.
- Does Miranda Kennedy accept Medicare?
- Miranda Kennedy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Miranda Kennedy's NPI active?
- Yes — Miranda Kennedy's NPI (1902266992) is active in the NPPES registry as of the last update on 2019-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.