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

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: October 18, 2026.

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 Blue Cross and Blue Shield of Oklahoma, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kennedy Barrett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saints Medical Group, LLC
36 mi
Family Medicine
777 NW 63RD ST STE 452
Oklahoma City, OK 73116
  • Reassigned Medicare billing, Oklahoma enrollment
  • 507 clinicians in this Medicare group
NPI 1437195922 (405) 231-3857

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

BREANNA ROCHELLE EDENBOROUGH PT
Physical Therapist
4651 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 214-1524
DR. DANIELLE RAE MANSHIP DO
Obstetrics & Gynecology
4651 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 214-3576
KATIE ELIZABETH BRANUM
Occupational Therapist
4651 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 395-3830
KACIE CASSADAY D.O.
Family Medicine
4651 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 214-1500
SHAWNAREE L LEE DO
Obstetrics & Gynecology
4651 N HARRISON ST
SHAWNEE, OK 74804
Pottawatomie County (405) 395-5655

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 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.

Where is Kennedy Barrett located?

Kennedy Barrett practices at 4651 N Harrison St, Shawnee, OK 74804. The listed phone number is (405) 395-5655.

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.

Is Kennedy Barrett enrolled in Medicare?

Yes. Kennedy Barrett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kennedy Barrett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Barrett reassigns Medicare benefits to Saints Medical Group, LLC (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kennedy Barrett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kennedy Barrett accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Oscar Insurance Company list Kennedy Barrett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kennedy Barrett affiliated with any hospitals?

According to CMS data, Kennedy Barrett is affiliated with Ssm Health St Anthony Hospital - Shawnee.

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 20 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.