Active NPI
Priya Keane, DNP, AG-ACNP-BC
- Acute Care Nurse Practitioner
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 159071
- Practice address
- 3200 Providence Dr Ste 111
Anchorage, AK 99508-4662 - Phone
- (907) 212-7890
- NPI assigned
- Jun 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 201392788RN | OR | |
| Acute Care Nurse Practitioner | 363LA2100X | 159071 | AK | Primary |
Addresses
Primary practice location
3200 Providence Dr Ste 111
Anchorage, AK 99508-4662
Mailing address
1002 W 15TH Ave
Anchorage, AK 99501-4942
Phone (918) 260-5698
Other practice location 1
3600 N Interstate Ave
Portland, OR 97227-1106
Phone (503) 285-9321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3200 Providence Dr
Anchorage, AK 99508-4615
Phone (907) 562-2211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201392788RN | OR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients |
Locations
920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200
3200 Providence Dr
Ste 111
Anchorage, AK 99508
Phone (907) 212-7890
3200 Providence Dr
Ste B111
Anchorage, AK 99508
Phone (907) 212-7890
3200 Providence Dr
Anchorage, AK 99508
Phone (907) 261-3111
Organizations & group practices 1
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1023502606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 W 15TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995014942",
"telephone_number": "918-260-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PROVIDENCE DR STE 111",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084662",
"telephone_number": "907-212-7890"
}
],
"practiceLocations": [
{
"address_1": "3600 N Interstate Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271106",
"country_code": "US",
"telephone_number": "503-285-9321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEANE",
"first_name": "PRIYA",
"credential": "DNP, AG-ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "201392788RN",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AK",
"license": "159071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.