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

Stacy Jo Kennedy, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1669947610

Stacy Jo Kennedy, FNP-BC is a Nurse Practitioner in Rock Springs, Wyoming. Qualified in 2018, 8 years ago. Practices with Casper Cardiology, a 5-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
8
Licensed in
WY
In the registry since
2018
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1453A Dewar Dr
Rock Springs, WY 82901-5812
Phone: (307) 382-2466
Fax: (888) 395-0359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 30260.1816 (WY)

Record details

NPI number1669947610
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedOctober 5, 2018
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Casper Cardiology — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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