MS. KIM BEA KENNEDY-MCDONALD (MA CCC-SP) – Speech-Language Pathologist, NPI 1649483652
Speech-Language Pathologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
114 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in OK
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Provider Addresses for MS. KIM BEA KENNEDY-MCDONALD (MA CCC-SP)
131, Arcadia Road, Vinita, Craig County, Oklahoma, 74301, United States
715 N BREWER
VINITA, OK 743012710
Phone: (918) 256-5644
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221221001812 | I | Qualified Speech Language Pathologist | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97130 | Therapy procedure for a range of mental processes, each additional 15 minutes | 2,649 | 28 | $0 |
| 97129 | Therapy procedure for a range of mental processes, initial 15 minutes | 1,118 | 28 | $0 |
| 96125 | Test to assess the ability to complete specific functional tasks applicable to environment | 28 | 14 | $0 |
| 92523 | Evaluation of speech sound production with evaluation of language comprehension and expression | 19 | 18 | $0 |
Insurance plans in this area (ZIP 74301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | OK | |
| Qualified Speech Language Pathologist | OK | |
| Occupational Therapist In Private Practice | OK | |
| Qualified Speech Language Pathologist | OK | |
| Qualified Speech Language Pathologist | OK | |
| Qualified Speech Language Pathologist | OK | |
| Occupational Therapist In Private Practice | OK | |
| Qualified Speech Language Pathologist | OK | |
| Occupational Therapist In Private Practice | OK |
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