Individual provider Active NPI

Jacqueline Marie Keener, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lebanon, PA
National Provider Identifier
1306638077
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP032927 Issued in PA
Practice address
283 S Butler Rd
Lebanon, PA 17042-8939
Phone
(717) 270-2422
NPI assigned
May 20, 2025
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP032927 PA Primary

Addresses

Primary practice location

283 S Butler Rd
Lebanon, PA 17042-8939

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

239 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 270-2422

Other practice location 2

1407 Williams Rd
York, PA 17402-9000
Phone (717) 845-2482

Other practice location 3

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-4000

Other practice location 4

344 N Reading Rd
Ephrata, PA 17522-1651
Phone (717) 738-1125

Other practice location 5

780 Eden Rd
Lancaster, PA 17601-4275
Phone (717) 735-7770

Other practice location 6

2501 Oregon Pike
Lancaster, PA 17601-4890
Phone (717) 735-1954

Other practice location 7

964 Isabel Dr
Lebanon, PA 17042-7482
Phone (717) 274-9777

Other practice location 8

176 S Coldbrook Ave
Chambersburg, PA 17201-2712
Phone (717) 267-7480

Other practice location 9

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 733-0311

Other practice location 10

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 334-2121

Other practice location 11

252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 821-8017

Other practice location 12

112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 267-7771

Other practice location 13

1001 S George St
York, PA 17403-3676
Phone (717) 851-2304

Other practice location 14

40 V Twin Dr Ste 202
Gettysburg, PA 17325-7878
Phone (717) 339-2710

Other practice location 15

1407 Williams Rd
York, PA 17402-9000
Phone (717) 851-6340

Other practice location 16

1101 Edgar St
York, PA 17403-2862
Phone (717) 851-1500

Other practice location 17

781 Far Hills Dr Ste 600
New Freedom, PA 17349-8404
Phone (717) 812-2560

Other practice location 18

605 S George St Ste 100
York, PA 17401-3164
Phone (717) 356-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251028004367 PA Practitioner - Nurse Practitioner 5991294191 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PhilhavenGroup PAC ID 8729991419, 93 clinicians

Practice addresses (Care Compare)

239 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 270-2422

2501 Oregon Pike
Lancaster, PA 17601-4890
Phone (717) 735-1954

283 S Butler Rd
Lebanon, PA 17042-8939
Phone (717) 270-2422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP032927PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Philhaven Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Philhaven CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300

176 S Coldbrook Ave
Chambersburg, PA 17201
Phone (717) 263-0550

169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311

344 N Reading Rd
Ephrata, PA 17522
Phone (717) 733-3134

147 Gettys St
Gettysburg, PA 17325
Phone (717) 334-2121

40 V Twin Dr
Ste 202
Gettysburg, PA 17325
Phone (717) 339-2710

2501 Oregon Pike
Lancaster, PA 17601
Phone (717) 735-1954

2501 Oregon Pike
Ste 113
Lancaster, PA 17601
Phone (717) 735-1954

780 Eden Rd
Lancaster, PA 17601
Phone (717) 735-0515

204 Hathaway Park
Lebanon, PA 17042
Phone (717) 274-9777

252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500

283 S Butler Rd
Lebanon, PA 17042

964 Isabel Dr
Lebanon, PA 17042
Phone (717) 274-9777

283 Butler Rd
Mount Gretna, PA 17064
Phone (800) 932-0359

781 Far Hills Dr
Ste 600
New Freedom, PA 17349
Phone (717) 812-2560

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

1001 S George St
York, PA 17403
Phone (717) 812-7687

1101 Edgar St
York, PA 17403
Phone (717) 812-4602

1407 Williams Rd
York, PA 17402
Phone (717) 845-2482

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

605 S George St
Ste 100
York, PA 17401
Phone (717) 356-5060

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": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1306638077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 S BUTLER RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170428939",
            "telephone_number": "717-270-2422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 S Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170428939",
            "country_code": "US",
            "telephone_number": "717-270-2422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 Williams Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174029000",
            "country_code": "US",
            "telephone_number": "717-845-2482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-4000",
            "fax_number": "717-553-1504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "344 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221651",
            "country_code": "US",
            "telephone_number": "717-738-1125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Eden Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014275",
            "country_code": "US",
            "telephone_number": "717-735-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Oregon Pike",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176014890",
            "country_code": "US",
            "telephone_number": "717-735-1954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "964 Isabel Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427482",
            "country_code": "US",
            "telephone_number": "717-274-9777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 S Coldbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172012712",
            "country_code": "US",
            "telephone_number": "717-267-7480",
            "fax_number": "717-775-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-733-0311",
            "fax_number": "717-738-6735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Gettys St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252534",
            "country_code": "US",
            "telephone_number": "717-334-2121",
            "fax_number": "717-337-4314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-821-8017",
            "fax_number": "717-270-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-267-7771",
            "fax_number": "717-267-7427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-2304",
            "fax_number": "717-851-3374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 V Twin Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173257878",
            "country_code": "US",
            "telephone_number": "717-339-2710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1407 Williams Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174029000",
            "country_code": "US",
            "telephone_number": "717-851-6340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Edgar St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174032862",
            "country_code": "US",
            "telephone_number": "717-851-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "781 Far Hills Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "New Freedom",
            "state": "PA",
            "postal_code": "173498404",
            "country_code": "US",
            "telephone_number": "717-812-2560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 S George St Ste 100",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174013164",
            "country_code": "US",
            "telephone_number": "717-356-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENER",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP032927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.