Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295565471 Individual Practitioner Female Practitioner

Alice Raven Kenneally , PA-C

Physician Assistant • Palmer, AK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Alice Kenneally, PA-C is a certified Physician Assistant practicing in Palmer, AK. With approximately 2 years of clinical experience since graduating from East Carolina University School Of Dentistry in 2024, Alice Kenneally delivers high-quality medical care to the local community at 425 E DAHLIA AVE.

Alice Kenneally maintains professional affiliations with Mat - Su Health Services Inc., Select Physical Therapy Holdings Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

425 E Dahlia Ave

Palmer, AK 996456463

Telephone 9073762411
Associated Practice Facility / Clinic
🏢 Family Health Center, Pc Facility NPI 1336274778

Medicare Profile & Education

Medical School

East Carolina University School Of Dentistry

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Palmer, AK

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -10.4 yrs vs City Avg
City Avg: 12.4 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Palmer, AK (551 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kenneally (2 Years) 2 Yrs
Palmer Specialty Average (12.4 Years) 12.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AK 233490

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Select Physical Therapy Holdings Inc

10928 Eagle River Rd, Eagle River, AK 995778078

Phone: 9076948085

Mat - Su Health Services Inc.

1363 W Spruce Ave, Wasilla, AK 996545327

Phone: 9073762411

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Paris Taylor , LCSW-C

Counselor - Mental Health

NPI 1003301755

Licensed Clinical Social Worker - Certified

Lisa Bouyea-Francies , APRN-FNP

Nurse Practitioner - Family

NPI 1013308543

APRNFNP

Linda Shepard

Case Manager/Care Coordinator

NPI 1023631728
Lori Petal

Peer Specialist

NPI 1023696069
Dr. Heidi Koslo , DNP, APRN, FNP-BC

Nurse Practitioner - Family

NPI 1033461942

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Robin Hughes , LMSW

Social Worker - Clinical

NPI 1043482052

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 30, 2025

Registered at 425 E DAHLIA AVE, PALMER, AK 996456463 (Tel: 9073762411)

📍
Updated Business Mailing Address April 30, 2025

Registered at 425 E DAHLIA AVE, PALMER, AK 996456463 (Tel: 9073762411)

NPI Profile Active August 03, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2024

Registered at 113 WAX MYRTLE WAY, SNEADS FERRY, NC 284607621 (Tel: 6198662556)

📍
Updated Business Mailing Address August 03, 2024

Registered at 113 WAX MYRTLE WAY, SNEADS FERRY, NC 284607621 (Tel: 6198662556)

👤
Provider Name / Credentials Updated August 03, 2024

Recorded as ALICE KENNEALLY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 03, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295565471
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2024
Last Update: April 30, 2025
Sole Proprietor: No

Mailing Address

425 E Dahlia Ave

Palmer, AK 996456463

Phone: 9073762411

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.