Individual provider Active NPI

Ryan Patrick Keenan, DNP, APRN, FNP-BC

  • Nurse Practitioner
  • Hartford, CT
National Provider Identifier
1447739859
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7670 Issued in CT
Practice address
31 Seymour St
Ste 100
Hartford, CT 06106-5521
Phone
(860) 549-8276
Fax
(860) 247-3803
NPI assigned
Aug 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7670 CT
Nurse Practitioner 363L00000X 7670 CT Primary

Addresses

Primary practice location

31 Seymour St
Ste 100
Hartford, CT 06106-5521

Mailing address

74 Batterson Park Rd
Ste 107
Farmington, CT 06032-2565
Phone (860) 549-8276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20181203002361 CT Practitioner - Nurse Practitioner 1254675291 Reassigns benefits to 5 organizations
Practice locations: Hartford, CT

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Urgent Care Centers LLCGroup PAC ID 7618242777, 201 clinicians

Practice addresses (Care Compare)

31 Seymour St
Suite 100
Hartford, CT 06106-5521
Phone (860) 549-3210

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.04 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40
Cost
82.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7670CTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Surgery CurrentSince Aug 1, 2020 Accepting new patients
Hartford Healthcare Urgent Care Centers, LLC CurrentSince Aug 1, 2020 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Dec 20, 2021 Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Day Kimball Medical Group Inc Surgery CurrentSince Apr 28, 2019 Accepting new patients
Yale University CurrentSince Oct 8, 2018 Accepting new patients
Yale University Surgery Current Accepting new patients
Connecticut Children'S Specialty Group, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Orthopedic Associates of Hartford,PC CurrentSince Dec 20, 2021 Accepting new patients
Yale University CurrentSince Oct 8, 2018 Accepting new patients

Locations

385 W Main St
Avon, CT 06001
Phone (860) 777-1280

132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225

74 Batterson Park Rd
Ste 107
Farmington, CT 06032

499 Farmington Ave
Ste 300
Farmington, CT 06032
Phone (860) 549-8986

345 Western Blvd
Glastonbury, CT 06033
Phone (860) 549-8288

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

31 Seymour St
Ste 100
Hartford, CT 06106
Phone (860) 549-8208

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

20 York St
North Haven, CT 06510
Phone (203) 688-2433

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

Interoperability endpoints

  • Direct secure messaging: ryan.keenan@xdr.hhchealthdirect.org
  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

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.

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1447739859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BATTERSON PARK RD",
            "address_2": "STE 107",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322565",
            "telephone_number": "860-549-8276",
            "fax_number": "860-244-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SEYMOUR ST",
            "address_2": "STE 100",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065521",
            "telephone_number": "860-549-8276",
            "fax_number": "860-247-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "7670",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "7670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

Verify at the official NPI Registry.