Courtney Keitel

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

115 S Piney Rd
Chester, MD 21619-2619

Phone

(410) 643-3007

NPI assigned

Jun 13, 2016

Last updated

Jun 3, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD

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

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MNR Industries, LLCGroup PAC ID 7416908843, 142 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MNR Industries, LLC

  dba ExpressCare of Bel Air

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1457478703
  Medicare reassignment Care Compare group
• MNR Industries LLC

  dba ExpressCare of Mount Airy

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146
  NPD
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1649089418
  NPD
• MNR Industries,LLC

  dba ExpressCare of Brooklyn Park

  • Urgent Care Clinic/Center
  • Brooklyn Park, MD
  • NPI 1700239373
  NPD
• MNR Industries, LLC.

  dba Children's Urgent Care of Westminster

  • Urgent Care Clinic/Center
  • Westminster, MD
  • NPI 1922686815
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1679922405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S PINEY RD",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S PINEY RD",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192619",
            "telephone_number": "410-643-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITEL",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johns Hopkins Regional Physicians LLC (JHRP-1630 Main St. Ste 217- Provider Type: 20- Physician)
• Johns Hopkins Regional Physicians LLC (JHRP-1630 Main St. Ste 217- Provider Type: 19- Audiologist)
• Johns Hopkins Regional Physicians LLC (JHRP-1630 Main St. Ste 217- Provider Type: 19 - Audiologist)
• Katherine Elizabeth Jones, BSN, RN, RNFA
• Candice Judy, PHARMD
• Kent Drug Inc
• Kent Island Chiropractic and Rehabilitation
• Kent Island Surgery Center LLC
• Kent Island Volunteer Fire Department, Inc.
• Irene Kim

• Physician Assistant in Chester, MD
• Providers in Chester, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.