MRS. JESSICA KENNEMER (ARNP) – Family Nurse Practitioner, NPI 1861625691
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for MRS. JESSICA KENNEMER (ARNP)
Old US Highway 66, Sayre, Beckham County, Oklahoma, 73662, United States
STE 2
SAYRE, OK 736629305
Phone: (580) 928-2208
Fax: (580) 928-2246
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)
CMS reports 54 Open Payments records for all available years, with a total value of $3,032.
Total Amount is formed as General ($3,032) + Research ($0) + Ownership ($0) = $3,032.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Medtronic, Inc. ($2,634).
Total Amount
$3,032
General + Research + Ownership
Payments
54
Total payment records
General Amount
$3,032
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $2,634 |
| AstraZeneca Pharmaceuticals LP | $191 |
| GlaxoSmithKline, LLC. | $86 |
| Corcept Therapeutics | $76 |
| ABBVIE INC. | $25 |
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: 2009-12-09
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 |
|---|---|---|---|---|
| I20091209000042 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 2,252 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 508 | 175 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 215 | 119 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 144 | 24 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 95 | 60 | $0 |
Insurance plans in this area (ZIP 73662)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OK | |
| - | OK | |
| Physician Assistant | OK | |
| Orthopedic Surgery | OK | |
| - | OK | |
| Family Practice, General Surgery, Osteopathic Manipulative Medicine | OK | |
| - | OK | |
| H O S P I T A L I S T | OK | |
| H E M A T O L O G Y/ O N C O L O G Y | OK | |
| - | OK |
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