Individual provider Active NPI

Veronica Mary McKeon, FNP-BC

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1144052440
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354242 Issued in NY
Practice address
315 S Manning Blvd
Albany, NY 12208-1707
Phone
(518) 525-5064
Fax
(518) 525-6515
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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 354242 NY Primary

Addresses

Primary practice location

315 S Manning Blvd
Albany, NY 12208-1707

Mailing address

PO Box 14890
Albany, NY 12212-4890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240926002897 NY Practitioner - Nurse Practitioner 5294276580 Reassigns benefits to 9 organizations

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
Seton Health at Schuyler Ridge Residential HealthcareGroup PAC ID 5991861973, 3 clinicians
Our Lady of Mercy Life CenterGroup PAC ID 7113943846, 4 clinicians

Practice addresses (Care Compare)

1 Abele Dr
Clifton Park, NY 12065-2951
Phone (518) 371-1400

2 Mercycare LN
Guilderland, NY 12084-3505
Phone (518) 464-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
354242NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Health at Schuyler Ridge Residential Healthcare CurrentSince Sep 15, 2024 Accepting new patients
Villa Mary Immaculate CurrentSince Sep 15, 2024 Accepting new patients
Capital Region Geriatric Center, Inc. CurrentSince Sep 15, 2024 Accepting new patients
Heritage House Nursing Center, Inc CurrentSince Sep 15, 2024 Accepting new patients
Sunnyview Hospital and Rehabilitation Center CurrentSince Sep 15, 2024 Accepting new patients
The James a. Eddy Memorial Geriatric Center, Inc. CurrentSince Sep 15, 2024 Accepting new patients
Beverwyck, Inc CurrentSince Sep 15, 2024 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Sep 15, 2024 Accepting new patients
Our Lady of Mercy Life Center CurrentSince Sep 15, 2024 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Past Accepting new patients

Locations

301 Hackett Blvd
Albany, NY 12208
Phone (518) 525-1297

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

1 Abele Dr
Clifton Park, NY 12065
Phone (518) 213-2032

421 Columbia St
Cohoes, NY 12047
Phone (518) 237-5630

2 Mercycare Ln
Guilderland, NY 12084
Phone (518) 464-8100

1270 Belmont Ave
Schenectady, NY 12308
Phone (518) 382-4500

21 Beverwyck Ln
Slingerlands, NY 12159
Phone (518) 482-8774

1300 Massachusetts Ave
Fl 5
Troy, NY 12180

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2256 Burdett Ave
Troy, NY 12180
Phone (518) 274-9890

2920 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 274-4125

1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1144052440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-5064",
            "fax_number": "518-525-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "VERONICA",
        "middle_name": "MARY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Paye Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.