Cortney Keckley, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013356 Issued in CA

Practice address

8831 Villa la Jolla Dr
La Jolla, CA 92037-1949

Phone

(858) 457-4480

NPI assigned

Dec 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sharpcare Medical Group ApcGroup PAC ID 0244518736, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
• Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
• Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

Merit-based Incentive Payment System (MIPS)

Final score

80.12 of 100Reported as group

Quality

75.08

Improvement activities

40

Cost

79.41

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.

• Sharpcare Medical Group, Apc

  • Family Medicine Physician
  • Coronado, CA
  • NPI 1730521568
  Medicare reassignment Care Compare group NPD
• Sharp Healthcare

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1477763035
  NPD (past)

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

• Grossmont Hospital Corporation

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811
  Care Compare affiliation
• Sharp Coronado Hospital and Healthcare Center

  • General Acute Care Hospital
  • Coronado, CA
  • NPI 1154304475
  Care Compare affiliation
• Sharp Memorial Hospital

  • Rehabilitation Hospital Unit
  • San Diego, CA
  • NPI 1114901352
  Care Compare affiliation
• Sharp Memorial Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1407839921
  Care Compare affiliation

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

{
    "created_epoch": "1576281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1194363770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 GARNET AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093350",
            "telephone_number": "858-457-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8831 VILLA LA JOLLA DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371949",
            "telephone_number": "858-457-4480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1792 Garnet Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921093350",
            "country_code": "US",
            "telephone_number": "858-483-1489 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KECKLEY",
        "first_name": "CORTNEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-14",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "unknown",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8831 Villa La Jolla Dr",
            "city": "LA Jolla",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920371949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayvan Kevan Kazerouni, MD
• Jennifer Ann Rego Kearney, MD
• Richard M Keating, MD
• Katherine Keaveney, BSN, RN, CNOR
• Kelly E Keck, NNP
• Daniel T. Keefe, M.D.
• Donna Lynn Keefe, L.AC.
• Hollie Keene
• Kelli Anne Keene
• Benjamin F Kelley, M.D.

• Family Nurse Practitioner in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.