Active NPI
Andrew Edward Keens, ACNPC-AG
- Acute Care Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- NP200004425
- Practice address
- 110 Irving St NW
Washington, DC 20010-3017 - Phone
- (202) 877-7000
- NPI assigned
- Feb 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0001265799 | VA | |
| Registered Nurse | 163W00000X | RN200004425 | DC | |
| Acute Care Nurse Practitioner | 363LA2100X | 0024189949 | VA | |
| Acute Care Nurse Practitioner | 363LA2100X | NP200004425 | DC | Primary |
Addresses
Primary practice location
110 Irving St NW
Washington, DC 20010-3017
Mailing address
7109 Wayne Dr
Annandale, VA 22003-1734
Phone (518) 534-3940
Other practice location 1
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Inova Health Care Services
Practice addresses (Care Compare)
3300 Gallows Rd
Falls Church, VA 22042-3307
3800 Fettler Park Dr
Suite 312
Dumfries, VA 22025-2043
Phone (571) 472-6791
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960
8081 Innovation Park Dr
Fairfax, VA 22031-4867
Hospital & facility affiliations
- Inova Fairfax Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN200004425 | DC | MD | Registered Nurse |
| 0001265799 | VA | MD | Registered Nurse |
| NP200004425 | DC | MD | Acute Care Nurse Practitioner |
| 0024189949 | VA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791
8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200
8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253
3620 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 264-7801
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
7051 Heathcote Village Way
Ste 230
Gainesville, VA 20155
Phone (703) 391-4500
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
44055 Riverside Pkwy
Ste 110
Leesburg, VA 20176
Phone (703) 391-4500
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
Interoperability endpoints
- akeens225558@soc.inova.org
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Washington, DC
- NPI 1770198301
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1396499323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7109 WAYNE DR",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220031734",
"telephone_number": "518-534-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200103017",
"telephone_number": "202-877-7000"
}
],
"practiceLocations": [
{
"address_1": "3300 Gallows Rd",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220423307",
"country_code": "US",
"telephone_number": "703-776-4001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEENS",
"first_name": "ANDREW",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "ACNPC-AG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-08",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "VA",
"license": "0001265799",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN200004425",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024189949",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "DC",
"license": "NP200004425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.