Individual provider Active NPI

Angela Horne Keene, N. P.

  • Family Nurse Practitioner
  • Garner, NC
National Provider Identifier
1194901181
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201876 Issued in NC
Practice address
200 Health Park Dr
Suite 100
Garner, NC 27529-4679
Phone
(919) 773-1223
Fax
(919) 773-1955
NPI assigned
Jan 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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 201876 NC Primary

Addresses

Primary practice location

200 Health Park Dr
Suite 100
Garner, NC 27529-4679

Mailing address

200 Health Park Dr
Suite 100
Garner, NC 27529-4679
Phone (919) 773-1223

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
I20140312000489 NC Practitioner - Nurse Practitioner 1052541141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garner Internal Medicine, P.a.Group PAC ID 1355330721, 11 clinicians

Practice addresses (Care Compare)

200 Health Park Dr
Suite 100
Garner, NC 27529-6929
Phone (919) 773-1223

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201876NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garner Internal Medicine, P.a. CurrentSince Jun 1, 2015 Accepting new patients

Locations

200 Health Park Dr
Ste 100
Garner, NC 27529
Phone (919) 773-1223

Interoperability endpoints

  • Direct secure messaging: angelakeene@gim.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1194901181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEALTH PARK DR",
            "address_2": "SUITE 100",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294679",
            "telephone_number": "919-773-1223",
            "fax_number": "919-773-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH PARK DR",
            "address_2": "SUITE 100",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294679",
            "telephone_number": "919-773-1223",
            "fax_number": "919-773-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "ANGELA",
        "middle_name": "HORNE",
        "credential": "N. P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-21",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.