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

Crystal Nicole Kennedy, NP

Individual provider Family Nurse Practitioner · NPI 1902267057

Crystal Nicole Kennedy, NP is a Nurse Practitioner in Auburn, Indiana. Qualified in 2015, 11 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
11
Licensed in
IN
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

1153 W 15th St
Auburn, IN 46706-2061
Phone: (260) 222-1181
Fax: (260) 333-0510
Show map & directions

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

Additional practice locations (1)

  • 7411 Hope Dr, Fort Wayne, IN 46815-5687 — (260) 264-5600

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 71006117A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71006117A (IN)

Record details

NPI number1902267057
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMarch 17, 2016
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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