Individual provider Active NPI

Jacob Keating

  • Physician Assistant
  • Nashua, NH
National Provider Identifier
1639919152
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2977 Issued in NH
Practice address
112 Spit Brook Rd
Nashua, NH 03062-2869
Phone
(603) 577-2273
NPI assigned
May 31, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 2977 NH Primary

Addresses

Primary practice location

112 Spit Brook Rd
Nashua, NH 03062-2869

Mailing address

PO Box 3677
Nashua, NH 03061-3677
Phone (603) 557-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250408000724 NH Practitioner - Physician Assistant 4587188925 Reassigns benefits to 1 organization
I20250811000983 MA Practitioner - Physician Assistant 4587188925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600

116 Spit Brook Rd
Nashua, NH 03062-2711
Phone (603) 888-5573

29 Northwest Blvd
Nashua, NH 03063-4068
Phone (603) 402-2070

300 Derry Rd
Hudson, NH 03051-3023
Phone (603) 886-3979

33 Windham Rd
Immediate Care of Southern New Hampshire Pe
Pelham, NH 03076-2372
Phone (603) 577-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2977NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc. CurrentSince May 1, 2025 Accepting new patients
Foundation Medical Partners Inc CurrentSince May 1, 2025 Accepting new patients

Locations

68 Main St
Pepperell, MA 01463
Phone (978) 433-6317

300 Derry Rd
Hudson, NH 03051
Phone (603) 579-5472

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

22 Cotton Rd
Nashua, NH 03063
Phone (603) 899-6147

112 Spit Brook Rd
Nashua, NH 03062
Phone (603) 577-2273

29 Northwest Blvd
Nashua, NH 03063
Phone (603) 577-2273

Interoperability endpoints

  • Direct secure messaging: jkeating162725@direct.solutionhealth.org

Organizations & group practices 2

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1639919152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-557-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SPIT BROOK RD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030622869",
            "telephone_number": "603-577-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-31",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "2977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.