KENNEDY BARRETT APRN
NPI 1639994668
Nurse Practitioner - Women's Health in Shawnee, OK

Q: What is Kennedy Barrett's NPI number?

The NPI number for Kennedy Barrett is 1639994668. It was assigned to this individual provider in the NPPES registry on November 15, 2024.

Q: What is Kennedy Barrett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kennedy Barrett was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since November 15, 2024PECOS EnrolledAccepts Medicare Assignment

4651 N HARRISON ST, SHAWNEE, OK 74804(405) 395-5655(405) 395-5654 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kennedy Barrett Aprn NPPES

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

KENNEDY BARRETT APRN (NPI 1639994668) is an individual women's health provider in Shawnee, Oklahoma, licensed in Oklahoma (220145) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Shawnee, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639994668

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKENNEDY BARRETTCredential: APRN

Location Address4651 N HARRISON STShawnee, OK 74804-1440

Mailing Address777 Nw 63rd St Fl 4thOklahoma City, OK 73116-7601 · (405) 272-6193 · Fax (405) 272-7455

Phone(405) 395-5655

Fax(405) 395-5654

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 15, 2024

Last NPPES UpdateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1639994668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in OK · 220145

Also ListedNurse PractitionerTaxonomy 363L00000X · License 220145 (OK)

4651 N HARRISON ST, Shawnee, OK 74804

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kennedy Barrett Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446771901

PECOS Enrollment IDI20250313000213

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370149

Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 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

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

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 5

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

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