HEATHER C KENNEDY P.A.-C.
NPI 1447596804
Physician Assistant in Bethany, OK

Active since December 12, 2012PECOS Enrolled
7900 NW 23RD ST, SUITE 1, BETHANY, OK 73008(405) 470-3232(405) 470-3233 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather C Kennedy P.a.-c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER C KENNEDY P.A.-C. (NPI 1447596804) is an individual physician assistant in Bethany, Oklahoma, licensed in Oklahoma (2191) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447596804
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHEATHER C KENNEDYCredential: P.A.-C.
Location Address7900 NW 23RD ST, SUITE 1Bethany, OK 73008-4961
Mailing Address7900 Nw 23rd St, Suite 1Bethany, OK 73008-4961 · (405) 470-3232 · Fax (405) 470-3233
Fax(405) 470-3233
Sole ProprietorNo
Enumeration DateDecember 12, 2012
Last NPPES UpdateApril 26, 2016
NPI 1447596804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 2191
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2191 (PA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 2191 (OK)
7900 NW 23RD ST, Bethany, OK 73008

Other Names 1

Former Name (1)Heather C Lyles P.a.-c.

Other Identifiers 1

Medicaid200506010AOK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Heather C Kennedy P.a.-c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine (Emergency Medical Services)
7900 NW 23RD ST, SUITE 1
BETHANY, OK 73008
Emergency Medicine
7900 NW 23RD ST, SUITE 1
BETHANY, OK 73008
Dentist (General Practice)
7900 NW 23RD ST, SUITE 9
BETHANY, OK 73008
Clinic/Center (Urgent Care)
7900 NW 23RD ST
BETHANY, OK 73008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Kennedy's NPI number?

The NPI number for Heather Kennedy is 1447596804. It was assigned to this individual provider in the NPPES registry on December 12, 2012. The provider is also known as Heather C Lyles P.A.-C..

Where is Heather Kennedy located?

Heather Kennedy practices at 7900 NW 23rd St Suite 1, Bethany, OK 73008. The listed phone number is (405) 470-3232.

What is Heather Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Heather Kennedy enrolled in Medicare?

Yes. Heather Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Kennedy was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.