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

Michael Steven Kennelly, CRNP

Individual provider Cardiovascular Disease Physician · NPI 1508573353

Michael Steven Kennelly, CRNP is a Nurse Practitioner in Dubois, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Dubois Regional Cardiology Associates, an 11-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

145 Hospital Ave Ste 211
Dubois, PA 15801-1464
Phone: (814) 375-3722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence SP026537 (PA)

Record details

NPI number1508573353
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 1, 2022
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

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 Dubois Regional Cardiology Associates — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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