Individual provider Active NPI

Madeline Claire Keane, PA-C

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1467000273
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10107 Issued in AZ
Practice address
13400 E. Shea Blvd
Scottsdale, AZ 85259
Phone
(480) 301-8000
NPI assigned
Aug 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10107 AZ Primary

Addresses

Primary practice location

13400 E. Shea Blvd
Scottsdale, AZ 85259

Mailing address

13400 E. Shea Blvd
Scottsdale, AZ 85259
Phone (480) 301-8000

Other practice location 1

2350 Hospital Dr
Webster City, IA 50595-6600
Phone (515) 832-7800

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mkean2@vdmc.cernerdirect.com Direct
Direct Messaging Address mkean2@vdmc.cernerdirect.com
Direct Messaging Address mkeane1995828@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240118001433 AZ Practitioner - Physician Assistant 1254746894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayo Clinic ArizonaGroup PAC ID 7012829930, 1,618 clinicians

Practice addresses (Care Compare)

13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
78.27
Promoting interoperability
100
Improvement activities
40
Cost
76.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10107AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Arizona CurrentSince Dec 4, 2023 Accepting new patients
Mayo Clinic Arizona CurrentSince Dec 4, 2023 Accepting new patients
Hamilton County Public Hospital Physician Assistant Past Accepting new patients

Locations

13400 E Shea Blvd
Scottsdale, AZ 85259

Interoperability endpoints

  • Direct secure messaging: mkean2@vdmc.cernerdirect.com
  • Direct secure messaging: mkeane1995828@ehrdirect.mayoclinicmsg.org

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 1

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": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1467000273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 E. SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85259",
            "telephone_number": "480-301-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 E. SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85259",
            "telephone_number": "480-301-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Webster City",
            "state": "IA",
            "postal_code": "505956600",
            "country_code": "US",
            "telephone_number": "515-832-7800",
            "fax_number": "515-832-1123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEANE",
        "first_name": "MADELINE",
        "middle_name": "CLAIRE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkean2@vdmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Van Diest Family Health Clinic of Webster City",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2350 Hospital Dr",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505956600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkean2@vdmc.cernerdirect.com",
            "affiliation": "N",
            "address_1": "2350 Hospital Dr",
            "city": "Webster City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505956600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkeane1995828@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "13400 E. Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.