Individual provider Active NPI

Amanda Keeton, APRN, CNP

  • Family Nurse Practitioner
  • Mount Sterling, KY
National Provider Identifier
1093530552
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4029497 Issued in KY
Practice address
148 Skyview Dr
Mount Sterling, KY 40353-1496
Phone
(859) 499-0717
NPI assigned
Nov 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4029497 KY Primary

Addresses

Primary practice location

148 Skyview Dr
Mount Sterling, KY 40353-1496

Mailing address

148 Skyview Dr
Mount Sterling, KY 40353-1496
Phone (859) 499-0717

Other practice location 1

1011 Brandy Ln
Richmond, KY 40475-8441
Phone (859) 286-7555

Other practice location 2

1145 W Lexington Ave
Winchester, KY 40391-1290
Phone (859) 744-0301

Other identifiers 1

IdentifierTypeStateIssuer
7101036340MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20250123003353 KY Practitioner - Nurse Practitioner 9436688264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Means Adult Primary Care Clinic of Kentucky PLLCGroup PAC ID 5395642177, 9 clinicians

Practice addresses (Care Compare)

148 Skyview Dr
Mt Sterling, KY 40353-1496
Phone (859) 499-0717

Hospital & facility affiliations

  • Amedisys SP-Ky, LLC Dba Adoration Home Health Home health agency, Mount Sterling, KY, CCN 187093
  • Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4029497KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Means Adult Primary Care Clinic of Kentucky PLLC CurrentSince Dec 1, 2024 Accepting new patients
Means Adult Primary Care Clinic of Kentucky PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

148 Skyview Dr
Mt Sterling, KY 40353
Phone (859) 499-0717

1011 Brandy Ln
Ste A
Richmond, KY 40475
Phone (859) 286-7555

1145 W Lexington Ave
Ste A
Winchester, KY 40391
Phone (859) 744-0301

1145 W Lexington Ave
Winchester, KY 40391
Phone (859) 744-0301

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1093530552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SKYVIEW DR",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531496",
            "telephone_number": "859-499-0717",
            "fax_number": "859-499-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SKYVIEW DR",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531496",
            "telephone_number": "859-499-0717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Brandy Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404758441",
            "country_code": "US",
            "telephone_number": "859-286-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1145 W Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403911290",
            "country_code": "US",
            "telephone_number": "859-744-0301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEETON",
        "first_name": "AMANDA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4029497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101036340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sterling, KY

Sources for this page

Verify at the official NPI Registry.