Individual provider Active NPI

Markietra Keese

  • Primary Care Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1528845898
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP028204 Issued in PA
Practice address
5050 Parkside Ave Ste 2
Philadelphia, PA 19131-4751
Phone
(215) 383-0341
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP028204 PA
Adult Health Nurse Practitioner 363LA2200X SP028204 PA
Community Health Nurse Practitioner 363LC1500X SP028204 PA
Gerontology Nurse Practitioner 363LG0600X SP028204 PA
Primary Care Nurse Practitioner 363LP2300X SP028204 PA Primary

Addresses

Primary practice location

5050 Parkside Ave Ste 2
Philadelphia, PA 19131-4751

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (312) 733-9730

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231018000239 PA Practitioner - Nurse Practitioner 8527413020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

3621 Aramingo Ave
Philadelphia, PA 19134-4607
Phone (312) 600-8484

5050 Parkside Ave
Philadelphia, PA 19131-4714
Phone (312) 600-8484

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP028204PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - PA Physicians Group, PC Nurse Practitioner CurrentSince Sep 11, 2023 Accepting new patients

Locations

5050 Parkside Ave
Ste 2
Philadelphia, PA 19131
Phone (215) 383-0341

5050 Parkside Ave
Philadelphia, PA 19131
Phone (215) 390-1742

5050 Parkside Ave
#2
Philadelphia, PA 19131
Phone (215) 444-7659

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Organizations & group practices 1

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1528845898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 PARKSIDE AVE STE 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314751",
            "telephone_number": "215-383-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESE",
        "first_name": "MARKIETRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP028204",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP028204",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "PA",
            "license": "SP028204",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP028204",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP028204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.