Individual provider Active NPI

Jennifer Louise Keen, APN

  • Adult Health Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1114193083
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ANP141151 Issued in MO
Practice address
6 Jungermann Cir
Suite 209
Saint Peters, MO 63376-1621
Phone
(636) 916-9080
Fax
(636) 916-9332
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ANP141151 MO Primary

Addresses

Primary practice location

6 Jungermann Cir
Suite 209
Saint Peters, MO 63376-1621

Mailing address

2999 Imperial Dr
Saint Peters, MO 63303-1221
Phone (314) 750-0435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20090624000678 MO Practitioner - Nurse Practitioner 4880745272 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ANP141151MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Health Centers, P.C. CurrentSince Feb 1, 2022 Accepting new patients
Signify Health, LLC CurrentSince May 11, 2022 Accepting new patients
West County Family Care PC PastSince Nov 1, 2007 Accepting new patients

Locations

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

2621 Raymond Dr
Saint Charles, MO 63301
Phone (636) 946-2244

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1114193083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 IMPERIAL DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633031221",
            "telephone_number": "314-750-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 JUNGERMANN CIR",
            "address_2": "SUITE 209",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761621",
            "telephone_number": "636-916-9080",
            "fax_number": "636-916-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "JENNIFER",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "ANP141151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.