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

Mr. Kennedy A Edwards, BSN, RN, CCRN

Individual provider Acute Care Nurse Practitioner · NPI 1154092781

Mr. Kennedy A Edwards, BSN, RN, CCRN is a Nurse Practitioner in Orlando, Florida. Qualified in 2023, 3 years ago. Practices with Imc-Diagnostic and Medical Clinic LLC, a 168-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Florida.

Years since qualifying
3
Licensed in
AL, FL
In the registry since
2021
Specialties on file
3
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

601 E Rollins St
Orlando, FL 32803-1248
Phone: (407) 303-7283
Fax: (407) 303-0347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 — (251) 435-1200

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN11039938 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 1-166795 (AL)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 1-1667795 (AL)

Record details

NPI number1154092781
Entity typeIndividual (Type 1)
GenderMale
Credentials BSN , RN , CCRN
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Imc-Diagnostic And Medical Clinic Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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