Individual provider Active NPI

Sarah Gail Keene, FNP-C

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1336697796
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1132510 Issued in KY
Practice address
3991 Dutchmans LN Ste 310
Louisville, KY 40207-4716
Phone
(502) 899-6782
Fax
(502) 899-6783
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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 1132510 KY Primary

Addresses

Primary practice location

3991 Dutchmans LN Ste 310
Louisville, KY 40207-4716

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other practice location 1

2780 Mount Tabor Rd
New Albany, IN 47150-2078
Phone (502) 827-0376

Other practice location 2

2780 Mount Tabor Rd
New Albany, IN 47150-2078
Phone (502) 827-0376

Other practice location 3

220 Abraham Flexner Way Fl 6
Louisville, KY 40202
Phone (502) 588-4800

Other identifiers 2

IdentifierTypeStateIssuer
7100436380MedicaidKY
300000184MedicaidIN

Other names 1

  • Sarah Gail Olliges Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170124001930 KY Practitioner - Nurse Practitioner 0648558957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

3991 Dutchmans LN
Suite 310
Louisville, KY 40207-4716
Phone (502) 899-6782

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1132510KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Nov 29, 2016 Accepting new patients
Community Medical Associates, Inc. Family Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 29, 2016 Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2025 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

401 E Chestnut St
Louisville, KY 40202
Phone (502) 588-4400

401 E Chestnut St
Unit 610
Louisville, KY 40202
Phone (502) 588-4450

3991 Dutchmans Ln
Ste 310
Louisville, KY 40207
Phone (502) 899-6782

315 E Broadway
Ste 185E
Louisville, KY 40202
Phone (502) 629-5455

3 Audubon Plaza Dr
Ste LL2
Louisville, KY 40217
Phone (502) 636-8005

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

210 E Gray St
Ste 1003
Louisville, KY 40202
Phone (502) 629-2602

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

220 Abraham Flexner Way
Fl 6
Louisville, KY 40202
Phone (502) 582-7484

150 Frankfort Rd
Ste 104B
Shelbyville, KY 40065

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 and National Provider Directory roles.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1336697796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 DUTCHMANS LN STE 310",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074716",
            "telephone_number": "502-899-6782",
            "fax_number": "502-899-6783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 Mount Tabor Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471502078",
            "country_code": "US",
            "telephone_number": "502-827-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2780 Mount Tabor Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "471502078",
            "country_code": "US",
            "telephone_number": "502-827-0376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Abraham Flexner Way Fl 6",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40202",
            "country_code": "US",
            "telephone_number": "502-588-4800",
            "fax_number": "502-588-4801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENE",
        "first_name": "SARAH",
        "middle_name": "GAIL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "1132510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100436380",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300000184",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "OLLIGES",
            "middle_name": "GAIL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.