Kendra Ann Parker
NPI 1447209473ActiveIndividual· Physician Assistant, Surgical· American Fork, UT
Physician Assistant, Surgical with Revere Health PC, practicing in American Fork, Utah. 90 Medicare patients in 2024, $23,109 paid; all of their 152 Part D prescriptions were generic. Lists American Fork Hospital as a hospital affiliation.
Overview
| NPI | 1447209473 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 8, 2006 |
| Last updated in NPPES | Aug 4, 2023 |
| Certified by provider | Aug 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 7047461-1206 | UT |
| Physician Assistant, Surgical | 363AS0400X | 2005000370 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 90 |
|---|---|
| Services billed | 694 across 36 procedure codes |
| Paid by Medicare | $23,109 |
Part D prescriptions in 2024
| Prescriptions (claims) | 152 · 228 30-day fills |
|---|---|
| Patients | 71 |
| Total drug cost | $2,409 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Revere Health PCProvo, UT · 410 clinicians
Hospital affiliation
- American Fork HospitalAmerican Fork, UT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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