Individual provider Active NPI

Breanna Lynn O'Keefe, D.O.

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1104185503
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101019756 Issued in MI
Practice address
912 Centennial Way Ste 300
Lansing, MI 48917-8246
Phone
(517) 705-3910
Fax
(517) 705-3911
NPI assigned
May 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101019756 MI Primary

Addresses

Primary practice location

912 Centennial Way Ste 300
Lansing, MI 48917-8246

Mailing address

912 Centennial Way Ste 300
Lansing, MI 48917-8246
Phone (517) 705-3910

Other practice location 1

4912 Barnstable Ln
Lansing, MI 48906-9033
Phone (517) 648-1238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141204001945 MI Practitioner - Family Practice 7719209568 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Primary Care and Wellness, PLLC CurrentSince Sep 5, 2023 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Nov 1, 2014 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Lansing Urgent Care, PLC PastSince Mar 13, 2023 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1200 E Michigan Ave
Ste 460
Lansing, MI 48912
Phone (517) 364-2097

912 Centennial Way
Ste 300
Lansing, MI 48917
Phone (517) 648-1238

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Interoperability endpoints

  • Direct secure messaging: breanna.okeefe@563423931858948.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1104185503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 CENTENNIAL WAY STE 300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178246",
            "telephone_number": "517-705-3910",
            "fax_number": "517-705-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 CENTENNIAL WAY STE 300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178246",
            "telephone_number": "517-705-3910",
            "fax_number": "517-705-3911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4912 Barnstable Ln",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489069033",
            "country_code": "US",
            "telephone_number": "517-648-1238",
            "fax_number": "517-705-3911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "BREANNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-07",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101019756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.