Individual provider Active NPI

Melissa Nicole Keene, M.D.

  • Internal Medicine Physician
  • Jonesville, VA
National Provider Identifier
1295943876
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50386 Issued in TN
Practice address
276 Fieldstone Dr
Jonesville, VA 24263-1215
Phone
(276) 546-5310
Fax
(276) 546-5469
NPI assigned
May 18, 2007
Last updated
Jan 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 50386 TN
Internal Medicine Physician 207R00000X 50386 TN Primary

Addresses

Primary practice location

276 Fieldstone Dr
Jonesville, VA 24263-1215

Mailing address

276 Fieldstone Dr
Jonesville, VA 24263-1215
Phone (276) 546-5310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100729000077 VA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 3577615764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Charles Health Council IncGroup PAC ID 0244124584, shared by 12 NPIs, 10 clinicians

Practice addresses (Care Compare)

162 Medical Ctr Blvd
Haysi, VA 24256-0653
Phone (276) 865-5121

276 Fieldstone Dr
Jonesville, VA 24263-1215
Phone (276) 546-3001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50386TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buchanan General Hospital Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
Buchanan Health Care LLC CurrentSince Jul 1, 2020 Accepting new patients
Buchanan General Hospital Inc CurrentSince Sep 1, 2021 Accepting new patients
St. Charles Health Council Inc Current Accepting new patients
St Charles Health Council Inc CurrentSince Feb 9, 2016 Accepting new patients
St Charles Health Council Inc Internal Medicine CurrentSince Feb 9, 2016 Accepting new patients
Commonwealth Internal Medicine and Pediatrics Internal Medicine PastSince Jun 1, 2010 Accepting new patients

Locations

1532 Slate Creek Rd
#204
Grundy, VA 24614
Phone (276) 935-1167

1532 Slate Creek Rd
Ste 106
Grundy, VA 24614
Phone (276) 935-1167

1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125

276 Fieldstone Dr
Jonesville, VA 24263
Phone (276) 546-3001

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1295943876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 FIELDSTONE DR",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242631215",
            "telephone_number": "276-546-5310",
            "fax_number": "276-546-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 FIELDSTONE DR",
            "city": "JONESVILLE",
            "state": "VA",
            "postal_code": "242631215",
            "telephone_number": "276-546-5310",
            "fax_number": "276-546-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "MELISSA",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "50386",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "50386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesville, VA

Sources for this page

Verify at the official NPI Registry.