Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela D Kennerly, FNP-C

Individual provider Family Nurse Practitioner · NPI 1275249088

Angela D Kennerly, FNP-C is a Nurse Practitioner in New Roads, Louisiana. Qualified in 2022, 4 years ago. Practices with Louisiana Stat Care LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

213 W Main St
New Roads, LA 70760-3511
Phone: (225) 242-9162
Fax: (833) 972-7844
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 229265 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 229265 (LA)

Record details

NPI number1275249088
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 25, 2023
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Louisiana Stat Care Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in New Roads