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

Marie Antoinette Kennedy

Individual provider Gerontology Nurse Practitioner · NPI 1851899140

Marie Antoinette Kennedy is a Nurse Practitioner in Mishawaka, Indiana. Qualified in 2005, 21 years ago. Practices with Franciscan Physician Network, a 1,171-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
21
Licensed in
IN
In the registry since
2018
Specialties on file
3

Practice location Address checks out

611 E Douglas Rd Ste 208
Mishawaka, IN 46545-1465
Phone: (574) 335-6000
Fax: (574) 335-0738
Show map & directions

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

Additional practice locations (2)

  • 3500 Franciscan Way Ste 400, Michigan City, IN 46360-0033 — (219) 878-8200
  • 1668 S Us Highway 421, Westville, IN 46391-9523 — (219) 785-8424

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71007869A (IN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 71007869A (IN)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 28143781A (IN)

Record details

NPI number1851899140
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 1, 2018
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Franciscan Physician Network — 1171 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mishawaka