Individual provider Active NPI

Keqiang Shen, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1154713048
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7687 Issued in AZ
Practice address
2680 S Val Vista Dr Ste 146
Gilbert, AZ 85295-1636
Phone
(623) 888-6266
Fax
(623) 888-6265
NPI assigned
Mar 2, 2015
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 AP7687 AZ Primary

Addresses

Primary practice location

2680 S Val Vista Dr Ste 146
Gilbert, AZ 85295-1636

Mailing address

28913 N 23Rd Dr
Phoenix, AZ 85085-0715
Phone (480) 876-4013

Other practice location 1

14780 W. Mountain View Blvd.
Suite 110
Surprise, AZ 85374-7280
Phone (623) 374-7774

Other practice location 2

7101 E Oakmont Dr
Paradise Valley, AZ 85253-2728
Phone (480) 868-5367

Other practice location 3

11022 N 28th Dr Ste 270
Phoenix, AZ 85029-5639
Phone (623) 404-8505

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150430000252 AZ Practitioner - Nurse Practitioner 4082933742 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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)

11022 N 28TH Dr
Suite 270
Phoenix, AZ 85029-5639
Phone (602) 971-0304

2680 S Val Vista Dr
BLDG 9 RM 13 Suite 146
Gilbert, AZ 85295-2152
Phone (623) 888-6266

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7687AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wings of Hope Medical Services, LLC Nurse Practitioner CurrentSince Aug 3, 2022 Accepting new patients
Artemis of Arizona LLC CurrentSince Feb 8, 2023 Accepting new patients
Gaia Virtual Medicine. LLC CurrentSince May 30, 2023 Accepting new patients

Locations

2680 S Val Vista Dr
Ste 146
Gilbert, AZ 85295
Phone (480) 953-9701

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

11022 N 28th Dr
Ste 270
Phoenix, AZ 85029
Phone (602) 971-0304

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "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": "2680 S VAL VISTA DR STE 146",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951636",
            "telephone_number": "623-888-6266",
            "fax_number": "623-888-6265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14780 W. Mountain View Blvd.",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853747280",
            "country_code": "US",
            "telephone_number": "623-374-7774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        },
        {
            "address_1": "11022 N 28th Dr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850295639",
            "country_code": "US",
            "telephone_number": "623-404-8505",
            "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": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.