Active NPI
Erica Paige Keen, PA-C
- Physician Assistant
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-13439
- Practice address
- 615 Shipyard Blvd
Wilmington, NC 28412-6431 - Phone
- (910) 343-0145
- NPI assigned
- Feb 20, 2023
- Last updated
- Apr 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-13439 | NC | Primary |
Addresses
Primary practice location
615 Shipyard Blvd
Wilmington, NC 28412-6431
Mailing address
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145
Other practice location 1
120 Coastal Horizons Dr
Shallotte, NC 28470-6094
Phone (910) 754-4515
Other practice location 2
6 Doctors Cir
Supply, NC 28462-6357
Phone (910) 754-4233
Other practice location 3
110 Premiere Plz
Whiteville, NC 28472-2522
Phone (910) 524-8183
Other practice location 4
7876 US Hwy 117 S # A
Rocky Point, NC 28457-8408
Phone (910) 259-0668
Other practice location 5
240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone (910) 721-1000
Other practice location 6
309 Progress Dr
Burgaw, NC 28425-3280
Phone (910) 259-0668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
615 Shipyard Blvd
Wilmington, NC 28412-6431
Phone (910) 343-0145
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-13439 | NC | MD | Physician Assistant |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1922022607
-
- Emergency Medicine Physician
- Bolivia, NC
- NPI 1457822264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1417655598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284126431",
"telephone_number": "910-343-0145"
}
],
"practiceLocations": [
{
"address_1": "120 Coastal Horizons Dr",
"address_purpose": "LOCATION",
"city": "Shallotte",
"state": "NC",
"postal_code": "284706094",
"country_code": "US",
"telephone_number": "910-754-4515",
"fax_number": "910-754-4515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Doctors Cir",
"address_purpose": "LOCATION",
"city": "Supply",
"state": "NC",
"postal_code": "284626357",
"country_code": "US",
"telephone_number": "910-754-4233",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 Premiere Plz",
"address_purpose": "LOCATION",
"city": "Whiteville",
"state": "NC",
"postal_code": "284722522",
"country_code": "US",
"telephone_number": "910-524-8183",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7876 US Hwy 117 S # A",
"address_purpose": "LOCATION",
"city": "Rocky Point",
"state": "NC",
"postal_code": "284578408",
"country_code": "US",
"telephone_number": "910-259-0668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 Hospital Dr NE",
"address_purpose": "LOCATION",
"city": "Bolivia",
"state": "NC",
"postal_code": "284228346",
"country_code": "US",
"telephone_number": "910-721-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 Progress Dr",
"address_purpose": "LOCATION",
"city": "Burgaw",
"state": "NC",
"postal_code": "284253280",
"country_code": "US",
"telephone_number": "910-259-0668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEEN",
"first_name": "ERICA",
"middle_name": "PAIGE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-13439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.