Allie Kennedy
NPI 1689216251ActiveIndividual· Physician Assistant, Surgical· Tulsa, OK
Physician Assistant, Surgical with St. John Physicians, Inc., practicing in Tulsa, Oklahoma. Part D covered 28 prescriptions written in 2024, 79% of them generic. Lists Ascension St John Medical Center as a hospital affiliation.
Overview
| NPI | 1689216251 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Oct 15, 2019 |
| Last updated in NPPES | Mar 24, 2022 |
| Certified by provider | Mar 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 4763 | OK |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 (OK) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 28 · 32 30-day fills |
|---|---|
| Patients | 22 |
| Total drug cost | $406.71 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St. John Physicians, Inc.Tulsa, OK · 259 clinicians
Hospital affiliation
- Ascension St John Medical CenterTulsa, OK
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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All 42 surgical physician assistants in Tulsa · All surgical physician assistants in Oklahoma