Individual provider Active NPI

Monica L Keener, FNP

  • Family Nurse Practitioner
  • Elkin, NC
National Provider Identifier
1154049005
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016672 Issued in NC
Practice address
631 CC Camp Rd
Elkin, NC 28621-8705
Phone
(336) 366-1072
NPI assigned
Aug 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5016672 NC
Family Nurse Practitioner 363LF0000X 5016672 NC Primary

Addresses

Primary practice location

631 CC Camp Rd
Elkin, NC 28621-8705

Mailing address

360 Parkwood Medical Park
Elkin, NC 28621-2444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkeener@hughchatham.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20221020001788 NC Practitioner - Nurse Practitioner 2668848334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hugh Chatham Memorial Hospital, Inc.Group PAC ID 2062311442, 75 clinicians

Practice addresses (Care Compare)

400 Chatham Medical Park
Elkin, NC 28621-2480
Phone (336) 527-3371

Hospital & facility affiliations

  • Hugh Chatham Memorial Hospital Hospital, Elkin, NC, CCN 340097
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5016672NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Aug 29, 2022 Accepting new patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Aug 29, 2022 Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Current Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Nurse Practitioner Past Accepting new patients

Locations

911 E Atkins St
Dobson, NC 27017
Phone (336) 374-1010

911 E Atkins St
#D
Dobson, NC 27017
Phone (336) 374-1010

400 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-3371

360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960

150 Parkwood Dr
Elkin, NC 28621
Phone (336) 526-2629

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

600 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-7000

631 CC Camp Rd
Elkin, NC 28621
Phone (336) 366-1072

5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711

546 Winston Rd
Jonesville, NC 28642
Phone (336) 526-0037

Interoperability endpoints

  • Direct secure messaging: mkeener@hcfme.gwaydirect.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.

Hospital & facility affiliations 7

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": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1154049005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 PARKWOOD MEDICAL PARK",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 CC CAMP RD",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286218705",
            "telephone_number": "336-366-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "MONICA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016672",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkeener@hughchatham.org",
            "affiliation": "N",
            "address_1": "180 Parkwood Dr",
            "city": "Elkin",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286212430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

Verify at the official NPI Registry.