Individual provider Active NPI

Keara Leigh Eagan, APN

  • Gerontology Nurse Practitioner
  • Swedesboro, NJ
National Provider Identifier
1609413251
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00984200 Issued in NJ
Practice address
40 Village Green Dr Ste B
Swedesboro, NJ 08085-3253
Phone
(856) 467-7360
Fax
(856) 467-5959
NPI assigned
Dec 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00984200 NJ Primary

Addresses

Primary practice location

40 Village Green Dr Ste B
Swedesboro, NJ 08085-3253

Mailing address

1020 Laurel Oak Rd Ste 102
Voorhees, NJ 08043-3518
Phone (856) 783-1777

Other practice location 1

1020 Laurel Oak Rd Ste 102
Voorhees, NJ 08043-3518
Phone (865) 783-1777

Other names 1

  • Keara Leigh Ahern Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200128003143 NJ Practitioner - Nurse Practitioner 9133555865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

40 Village Green Dr
Suite B
Swedesboro, NJ 08085-3251
Phone (856) 467-7360

Hospital & facility affiliations

  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Health Network Medical Group, P.C. CurrentSince May 26, 2025 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Feb 3, 2020 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Feb 3, 2020 Accepting new patients

Locations

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

40 Village Green Dr
Ste B
Swedesboro, NJ 08085
Phone (856) 467-7360

1020 Laurel Oak Rd
Ste 102
Voorhees, NJ 08043
Phone (856) 435-8842

17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

40 Village Green Dr
Woolwich Twp, NJ 08085
Phone (856) 223-8930

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 3

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": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1609413251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAUREL OAK RD STE 102",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433518",
            "telephone_number": "856-783-1777",
            "fax_number": "856-783-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 VILLAGE GREEN DR STE B",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080853253",
            "telephone_number": "856-467-7360",
            "fax_number": "856-467-5959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Laurel Oak Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080433518",
            "country_code": "US",
            "telephone_number": "865-783-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAGAN",
        "first_name": "KEARA",
        "middle_name": "LEIGH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-03",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00984200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEARA",
            "last_name": "AHERN",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Swedesboro, NJ

Sources for this page

Verify at the official NPI Registry.