Sofia Kenneally
NPI 1528718327ActiveIndividual· Physician Assistant· Lakeport, CA
Physician Assistant with Sutter Bay Medical Foundation and 1 other group, practicing in Lakeport, California. 224 Medicare patients in 2024, $21,315 paid; nearly all of their 120 Part D prescriptions were generic (94%). Boston Scientific Corporation was the largest of 4 companies reporting payments in 2025, $897.85 in all, mostly food and beverage. Lists Providence Queen of the Valley Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1528718327 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 25, 2022 |
| Last updated in NPPES | Oct 24, 2025 |
| Certified by provider | Oct 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA60896 | CA |
| Emergency Medicine | 207P00000X | 60896 | CA |
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 (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 224 |
|---|---|
| Services billed | 288 across 46 procedure codes |
| Paid by Medicare | $21,315 |
Part D prescriptions in 2024
| Prescriptions (claims) | 120 · 128 30-day fills |
|---|---|
| Patients | 84 |
| Total drug cost | $5,776 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Sutter Bay Medical FoundationFremont, CA · 3,829 clinicians
- Providence Medical FoundationVictorville, CA · 1,466 clinicians
Hospital affiliations
- Providence Queen of the Valley Medical CenterNapa, CA
- Providence Santa Rosa Memorial HospitalSanta Rosa, CA
- Sutter Santa Rosa Regional HospitalSanta Rosa, CA
Industry payments (Open Payments)
- 2025$897.85 · 26 payments from 4 companies
- 2024$128.47 · 3 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $589.83 | 18 |
| Medtronic, Inc. | $189.33 | 4 |
| Mimedx Group, Inc. | $84.46 | 3 |
| Terumo Medical Corporation | $34.23 | 1 |
What the 2025 payments were for
- Food and Beverage$897.85 · 26 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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