CHLOE KENNEDY – Physician Assistant, NPI 1992472021

CHLOE KENNEDY is a healthcare provider. based in Broken arrow, Oklahoma. specializing in PHYSICIAN ASSISTANT. They hold a License No. 61507836 (WA). The NPI Number for CHLOE KENNEDY is 1992472021

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
CHLOE KENNEDY
NPI
1992472021
Phone
(210) 244-3023
Address
216 S 77TH ST
Enumeration Date
26 August 2021
Last Update Date
12 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4254403351
Graduation Year
2022 (4 years ago)
PAC ID
8022483825
Group Practice PAC ID
7113203290
Professional Enrollment ID
I20250307000551
Address ID
WA980052633BE13033RDXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,797 PHYSICIAN ASSISTANT in OK

Provider Addresses for CHLOE KENNEDY

  • 216 S 77TH ST

    BROKEN ARROW, OK 740142782

    Phone: (210) 244-3023

    Type: Mailing

  • 13033 NE BEL RED RD STE 120

    BELLEVUE, WA 980052633

    Phone: (425) 440-3351

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($64).

Total Amount

$108

General + Research + Ownership

Payments

4

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230410000915IPhysician AssistantOKTBD
I20250307000551IPhysician AssistantWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion2813$0
22842Placement of stabilizing device to back, 3-6 spine bone segments1414$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment1414$0
View full utilization report →

Insurance plans in this area (ZIP 74014)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113203290View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementWA
Nurse PractitionerWA
Pain ManagementWA

Reviews

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Frequently asked questions

Is there an official ID for CHLOE KENNEDY in U.S. healthcare records?
The official identifier for CHLOE KENNEDY is NPI 1992472021.
Is CHLOE KENNEDY still an active registrant?
CHLOE KENNEDY carries an active NPI according to the public dataset.
What area of care is associated with CHLOE KENNEDY?
CHLOE KENNEDY's record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with CHLOE KENNEDY?
Directory geography for CHLOE KENNEDY centers on Broken Arrow, Oklahoma.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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