Individual provider Active NPI

Keran Sevenise Hill, FNP, NP-C

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1407917289
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333879 Issued in NY
Practice address
50 Jay St
Brooklyn, NY 11201-1144
Phone
(718) 222-6600
Fax
(718) 222-6683
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 F333879 NY Primary

Addresses

Primary practice location

50 Jay St
Brooklyn, NY 11201-1144

Mailing address

13423 229TH St
Laurelton, NY 11413-2516
Phone (718) 527-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090410000000 NY Practitioner - Nurse Practitioner 8325103419 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Beacon Health Medical PCGroup PAC ID 1658804760, 36 clinicians
Rockwell Health LLCGroup PAC ID 5597125609, 10 clinicians
Houston Medical Consulting PCGroup PAC ID 1951551589, 8 clinicians

Practice addresses (Care Compare)

17 W 9TH St
Brooklyn, NY 11231-2501
Phone (718) 599-9090

214 W Houston St
New York, NY 10014-4846
Phone (718) 845-2455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
333879NYMDLicensed Practical Nurse
F333879NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Medical Consulting PC CurrentSince Jun 1, 2015 Accepting new patients
Sun River Health Inc. CurrentSince Feb 12, 2019 Accepting new patients
Sun River Health Inc Current Accepting new patients
Parcare Community Health Network Inc CurrentSince Jul 1, 2023 Accepting new patients
Rockwell Health LLC CurrentSince Apr 14, 2024 Accepting new patients
Beacon Health Medical PC CurrentSince Oct 1, 2024 Accepting new patients
Parcare Community Health Network Inc CurrentSince Jul 1, 2023 Accepting new patients
Ilyagu Medical PC Past Accepting new patients
Halsey Family Health Nurse Practitioner Services of New York, PC Past Accepting new patients
Phoenix Houses of New York, Inc. PastSince Jun 1, 2015 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700

202 Caton Ave
Brooklyn, NY 11218

17 W 9th St
Brooklyn, NY 11231
Phone (718) 599-9090

10504 Sutphin Blvd
Jamaica, NY 11435
Phone (718) 725-5000

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: khill84210@nychhc.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHFGDD

Organizations & group practices 10

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407917289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13423 229TH ST",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132516",
            "telephone_number": "718-527-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 JAY ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011144",
            "telephone_number": "718-222-6600",
            "fax_number": "718-222-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KERAN",
        "middle_name": "SEVENISE",
        "name_prefix": "Ms.",
        "credential": "FNP, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.