Keqiang Shen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP7687 Issued in AZ

Practice address

14780 W. Mountain View Blvd.
Suite 110
Surprise, AZ 85374-7280

Phone

(623) 374-7774

NPI assigned

Mar 2, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wings of Hope Medical Services LLCGroup PAC ID 7719277169, 8 clinicians

Gaia Virtual Medicine LLCGroup PAC ID 0648632802, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley of the Sun Home Health Care, LLC Home health agency, Glendale, AZ, CCN 037405
• Meridian Healthcare Providers, Inc. Home health agency, Phoenix, AZ, CCN 037250
• Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
• Palmeira Home Healthcare Home health agency, Phoenix, AZ, CCN 037295
• Advance Home Health Care, LLC Home health agency, Mesa, AZ, CCN 037462
• Pristine Hospice LLC Hospice, Glendale, AZ, CCN 001515

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Gaia Virtual Medicine. LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1730800475
  Medicare reassignment Care Compare group NPD Authorized official
• Wings of Hope Medical Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1003282278

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Artemis of Arizona LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1194451989
  NPD

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

• Advance Home Health Care LLC

  • Home Health Agency
  • Mesa, AZ
  • NPI 1659751006
  Care Compare affiliation
• Banner Home Care-Arizona

  • Home Health Agency
  • Sun City, AZ
  • NPI 1023051927
  Care Compare affiliation
• Meridian Health Care Providers, Inc

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1982798823
  Care Compare affiliation
• Pristine Hospice LLC

  • Community Based Hospice Care Agency
  • Glendale, AZ
  • NPI 1659029379
  Care Compare affiliation
• St Elizabeth Home Health Inc.

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1831410604
  Care Compare affiliation
• Valley of the Sun Home Healthcare, LLC

  • Home Health Agency
  • Glendale, AZ
  • NPI 1487970109
  Care Compare affiliation

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1154713048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28913 N 23RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850715",
            "telephone_number": "480-876-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14780 W. MOUNTAIN VIEW BLVD.",
            "address_2": "SUITE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747280",
            "telephone_number": "623-374-7774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7101 E Oakmont Dr",
            "address_purpose": "LOCATION",
            "city": "Paradise Valley",
            "state": "AZ",
            "postal_code": "852532728",
            "country_code": "US",
            "telephone_number": "480-868-5367",
            "fax_number": "480-393-8555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEN",
        "first_name": "KEQIANG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-02",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Shaylor
• London Sheard, RBT
• Sheitelman Chiropractic Inc
• Sheitelman Medical PLC
• David A. Sheitelman, D.C.
• Hannah Shepherd
• Jennifer Shepherd, L.C.S.W
• Michelle Sheridan
• Taqwa Shinnawi
• David Alan Shipitofsky, DC

• Family Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.