Individual provider Active NPI

Quinn M Keenan, CRNP

  • Family Nurse Practitioner
  • West Chester, PA
National Provider Identifier
1356974182
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019051 Issued in PA
Practice address
915 Old Fern Hill Rd Ste 1
West Chester, PA 19380-4269
Phone
(610) 692-6280
Fax
(610) 429-1943
NPI assigned
Feb 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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 SP019051 PA Primary

Addresses

Primary practice location

915 Old Fern Hill Rd Ste 1
West Chester, PA 19380-4269

Mailing address

915 Old Fern Hill Rd Ste 1
West Chester, PA 19380-4269
Phone (610) 692-6280

Other identifiers 1

IdentifierTypeStateIssuer
SP019051OtherPALICENSE

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
I20201022002002 PA Practitioner - Nurse Practitioner 5597185090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novacare Outpatient Rehabilitation East, Inc.Group PAC ID 3678480290, shared by 15 NPIs, 493 clinicians

Practice addresses (Care Compare)

1396 Wilmington Pike
West Chester, PA 19382-8218
Phone (610) 399-1138

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

4 Industrial Blvd
Paoli, PA 19301-1605

400 McFarlan Rd
Suite 100
Kennett Square, PA 19348-2477
Phone (610) 925-4901

688 Downingtown Pike
West Chester, PA 19380-2226
Phone (484) 787-0200

915 Old Fern Hill Rd
Suite 1
West Chester, PA 19380-4269
Phone (610) 692-6280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates LTD CurrentSince Oct 1, 2020 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates, LTD CurrentSince Oct 1, 2020 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

400 McFarlan Rd
Ste 100
Kennett Square, PA 19348
Phone (610) 444-1344

266 Lancaster Ave
Ste 200
Malvern, PA 19355
Phone (610) 640-4133

4 Industrial Blvd
Ste 165
Paoli, PA 19301
Phone (610) 359-5640

915 Old Fern Hill Rd
Ste 1BA
West Chester, PA 19380
Phone (610) 692-6280

915 Old Fern Hill Rd
Ste 1
West Chester, PA 19380
Phone (610) 314-4314

455 Woodview Rd
Ste 205
West Grove, PA 19390
Phone (484) 748-6148

Interoperability endpoints

  • Direct secure messaging: quinn.keenan.1@22724.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1356974182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD STE 1",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-692-6280",
            "fax_number": "610-429-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD STE 1",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-692-6280",
            "fax_number": "610-429-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "QUINN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SP019051",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.