Alice Raven Kenneally, PA-C
Physician Assistant · Palmer, AK
Alice Raven Kenneally, PA-C is a physician assistant with a practice address in Palmer, Alaska, and NPI 1295565471, issued on Aug 3, 2024. Check the license (Alaska 233490, as entered in NPPES) with the Alaska board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Alice Raven Kenneally
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 233490 AK
Self-reported in NPPES; status is on the state search - Practice location
- 425 E Dahlia Ave, Palmer, AK 99645
- Phone
- (907) 376-2411
- Enumerated
- Aug 3, 2024
- Record last updated
- Apr 30, 2025
- Medicare enrollment
- Enrolled (PECOS I20250530002420); accepts Medicare assignment
- Medical or professional school
- East Carolina University School Of Dentistry, 2024
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 542 in Alaska → Look up another NPI →
Also registered at 425 E Dahlia Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kathleen Hammaker, M.S.,R.N.,A.N.P.Psychiatric/Mental Health Nurse Practitioner1285769919
- Susan Lemagie, MDGynecology Physician1912915117
- Elena Morris, MSWSocial Worker1306024633
- Nancy Stone, LCSWMental Health Counselor1992488472
Verify Alice Raven Kenneally in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Alaska board licenses this profession
Search for license 233490Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Mat - SU Health Services Inc.Wasilla, AK
- Select Physical Therapy Holdings IncEagle River, AK
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Alice Raven Kenneally among 542 physician assistant records in Alaska
Alice Raven Kenneally, PA-C is one of 542 physician assistant records with a practice address in Alaska. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 94% of them.
- NPI issued2024 · 94% of these records are older, 3% newer
- In a Medicare fileYes · 67% of these records are
- In the CMS Doctors and Clinicians fileYes · 52% of these records are
- Graduated2024 · median 2015 among the 282 with a school on file
- Record last updated2025 · 51% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Alaska practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
10 physician assistant records list a practice address in Palmer
They are 10 of the 771 NPPES records with a practice address in Palmer, and 542 physician assistant records in Alaska.
All 542 in Alaska → Every provider in Palmer → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Benjamin Eachon, PA-C, 1LTPalmer, AK 996451235552316
- Mary EckartPalmer, AK 996451104253939
- Kristine Jakiemiec, PACPalmer, AK 996451922158864
- Babee Mitchell, PA-CPalmer, AK 996451538357009
- Neil Nardini, PA-CPalmer, AK 996451871879718
- Brianna Nye, PA-CPalmer, AK 996451972842326
- Ashley Smith, PAPalmer, AK 996451548969413
- Jordan Stancombe, PAPalmer, AK 996451902214521
Common questions
What is Alice Raven Kenneally, PA-C's NPI number?
Alice Raven Kenneally, PA-C's National Provider Identifier (NPI) is 1295565471, issued on Aug 3, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Alice Raven Kenneally, PA-C located?
The NPPES record lists a practice address at 425 E Dahlia Ave, Palmer, AK, 99645. Phone: (907) 376-2411. Providers update this record themselves, so call before visiting.
How can I verify Alice Raven Kenneally, PA-C's license?
NPPES lists Alaska license number 233490, as entered by the provider. Search the Alaska board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.