Kelly L Keegan, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP008409 Issued in PA

Practice address

160 Wayland Smith Dr Ste 102
Uniontown, PA 15401-7500

Phone

(724) 438-3300

Fax

(724) 438-3366

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pittsburgh Kidney Care LLCGroup PAC ID 1658664578, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jefferson Hospital Hospital, Jefferson Hills, PA, CCN 390265
• Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4
• Direct secure messaging: kkeegan35841@direct.acumenmd.com

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.

• Pittsburgh Kidney Care LLC

  • Nephrology Physician
  • Clairton, PA
  • NPI 1699122069
  Medicare reassignment Care Compare group NPD
• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jefferson Regional Medical Center

  • Clinic/Center
  • Clairton, PA
  • NPI 1366488108

  Hospital

  Care Compare affiliation
• Jefferson Regional Medical Center

  • General Acute Care Hospital
  • Clairton, PA
  • NPI 1578560504
  Care Compare affiliation
• Monongahela Valley Hospital, Inc

  dba Penn Highlands Mon Valley

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Monongahela, PA
  • NPI 1184401259
  Care Compare affiliation
• Monongahela Valley Hospital, Inc.

  dba Penn Highlands Mon Valley

  • General Acute Care Hospital
  • Monongahela, PA
  • NPI 1639353428
  Care Compare affiliation
• Monongahela Valley Hospital, Inc.

  dba Penn Highlands Mon Valley

  • General Acute Care Hospital
  • Monongahela, PA
  • NPI 1912905548
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1528109295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COAL VALLEY RD STE 204",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253724",
            "telephone_number": "412-466-2220",
            "fax_number": "412-466-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WAYLAND SMITH DR STE 102",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154017500",
            "telephone_number": "724-438-3300",
            "fax_number": "724-438-3366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Arentzen Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Charleroi",
            "state": "PA",
            "postal_code": "150221085",
            "country_code": "US",
            "telephone_number": "724-489-0220",
            "fax_number": "724-489-0855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031325430002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031543900003",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkeegan35841@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "160 Wayland Smith Dr Ste 102",
            "city": "Uniontown",
            "state": "PA",
            "country_code": "US",
            "postal_code": "154017500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leah Elizabeth Kaylor, PH.D.
• Lori Kaylor
• Grace Kealey
• Thomas R Kearns, MD
• Roberta Keefer
• Tina Marie Keener, CRNP
• Lacie Keffer
• Jennifer Kelley
• Kathleen Kelley, RN
• Nickie Kelley

• Nurse Practitioner in Uniontown, PA
• Providers in Uniontown, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.