Kenzee Kay Gambrell, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4636 Issued in OK

Practice address

16603 W South Ave
Tonkawa, OK 74653-4707

Phone

(580) 557-0069

Fax

(580) 557-0089

NPI assigned

May 25, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kenzee Kay Peetoom Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Oklahoma Urgent CareGroup PAC ID 9537671607, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.26 of 100Reported as group

Quality

53.73

Promoting interoperability

100

Improvement activities

40

Cost

70.48

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenzee.gambrell.1@32771.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northern Oklahoma Urgent Care

  • Urgent Care Clinic/Center
  • Tonkawa, OK
  • NPI 1568279321
  Medicare reassignment Care Compare group
• Ou Health Partners, Inc

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1528642642
  Medicare reassignment
• Ou Health Partners, Inc

  • Prosthetic/Orthotic Supplier
  • Oklahoma City, OK
  • NPI 1447834460
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1639744295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16603 W SOUTH AVE",
            "address_2": "PO BOX 8",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746534707",
            "telephone_number": "580-557-0069",
            "fax_number": "580-557-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16603 W SOUTH AVE",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746534707",
            "telephone_number": "580-557-0069",
            "fax_number": "580-557-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBRELL",
        "first_name": "KENZEE",
        "middle_name": "KAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "4636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBNDD",
            "identifier": "10001201",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "4636",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENZEE",
            "last_name": "PEETOOM",
            "middle_name": "KAY",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzanne Brown, ATC
• Sarah J Campbell, DDS
• City of Tonkawa
• Joyce Daniel, APRN
• Anna Lois Denton
• Gipson and Base at Willow Haven LLC
• Genevieve E Glasgow, RN
• Patricia Ann Marie Hall, LADC, CM
• Harold R Hutton II, D.PH.
• Hutton Pharmacy #2 Inc

• Medical Physician Assistant in Tonkawa, OK
• Providers in Tonkawa, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.