Individual provider Active NPI

Gretchen Keyse, CNP

  • Family Nurse Practitioner
  • Dardanelle, AR
National Provider Identifier
1356744585
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004104 Issued in AR
Practice address
215 N 4TH St
Dardanelle, AR 72834-3713
Phone
(479) 229-2827
Fax
(479) 229-5749
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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 A004104 AR Primary

Addresses

Primary practice location

215 N 4TH St
Dardanelle, AR 72834-3713

Mailing address

215 N 4TH St
PO Box 637
Dardanelle, AR 72834-3713
Phone (479) 229-2827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190725002816 TX Practitioner - Nurse Practitioner 9133445190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

12345 Katy Fwy
Houston, TX 77079-1503
Phone (281) 679-5600

401 Greens Rd
Houston, TX 77060-2101
Phone (281) 873-0111

4025 S Padre Island Dr
Corpus Christi, TX 78411-4420
Phone (361) 852-8255

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Jul 1, 2019 Accepting new patients
American Current Care, P.a. Current Accepting new patients
American Current Care PA CurrentSince Jul 1, 2019 Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

Organizations & group practices 3

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": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1356744585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N 4TH ST",
            "address_2": "PO BOX 637",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343713",
            "telephone_number": "479-229-2827",
            "fax_number": "479-229-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N 4TH ST",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728343713",
            "telephone_number": "479-229-2827",
            "fax_number": "479-229-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYSE",
        "first_name": "GRETCHEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dardanelle, AR

Sources for this page

Verify at the official NPI Registry.