Individual provider Active NPI

Tina Marie Keener, CRNP

  • Family Nurse Practitioner
  • Uniontown, PA
National Provider Identifier
1164990958
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019583 Issued in PA
Practice address
86 McClellandtown Rd
Uniontown, PA 15401-5527
Phone
(724) 430-7990
NPI assigned
Nov 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP019583 PA
Family Nurse Practitioner 363LF0000X SP019583 PA Primary

Addresses

Primary practice location

86 McClellandtown Rd
Uniontown, PA 15401-5527

Mailing address

86 McClellandtown Rd
Uniontown, PA 15401-5527
Phone (724) 430-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190530000281 PA Practitioner - Nurse Practitioner 2961745203 Reassigns benefits to 4 organizations
I20221130001548 WV Practitioner - Nurse Practitioner 2961745203

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
Integrated Wound Specialists of Pennsylvania, LLCGroup PAC ID 0143414714, 6 clinicians

Practice addresses (Care Compare)

575 Coal Valley Rd
Suite 207
Jefferson Hills, PA 15025-3724
Phone (412) 469-7676

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Healing Solutions Pennsylvania and Delaware LLC CurrentSince Nov 1, 2021 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Integrated Wound Specialists of Pennsylvania, LLC Family Medicine CurrentSince Jan 22, 2025 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics Inc Family Medicine CurrentSince Oct 30, 2020 Accepting new patients
Centerville Clinics, Inc CurrentSince Oct 30, 2020 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Family Medicine Current Accepting new patients

Locations

600 Clements Bridge Rd
Barrington, NJ 08007
Phone (609) 268-5517

3746 Cedar Ridge Rd
Allison Park, PA 15101
Phone (724) 444-0600

1000 Higbee Dr
Bethel Park, PA 15102
Phone 4128336176120

501 Bath Rd
Bristol, PA 19007
Phone (215) 785-9200

1070 Old National Pike
Fredericktown, PA 15333

575 Coal Valley Rd
Jefferson Hills, PA 15025
Phone (412) 469-5715

575 Coal Valley Rd
Ste 207
Jefferson Hls, PA 15025
Phone (412) 469-7676

395 Middle Rd
Nanticoke, PA 18634
Phone (570) 735-2973

111 Perrymont Rd
Pittsburgh, PA 15237
Phone (412) 348-1593

2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358

600 Commerce Blvd
Fl 2
Stroudsburg, PA 18360
Phone (570) 426-6810

129 Franklin Ave
Uniontown, PA 15401
Phone (724) 439-5700

86 McClellandtown Rd
Uniontown, PA 15401
Phone (724) 430-7990

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1164990958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 MCCLELLANDTOWN RD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015527",
            "telephone_number": "724-430-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 MCCLELLANDTOWN RD",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015527",
            "telephone_number": "724-430-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP019583",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.