Active NPI
Matthew Keen, FNP-C
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016035658
- Practice address
- 12700 Southfork Rd Ste 280
Saint Louis, MO 63128-3287 - Phone
- (314) 892-6565
- Fax
- (314) 892-4828
- NPI assigned
- Oct 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016035658 | MO | Primary |
Addresses
Primary practice location
12700 Southfork Rd Ste 280
Saint Louis, MO 63128-3287
Mailing address
12700 Southfork Rd Ste 280
Saint Louis, MO 63128-3287
Phone (314) 892-6565
Other practice location 1
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Texas Tech University Health Science Center School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1906
12700 Southfork Rd
Suite 280
Saint Louis, MO 63128-3287
Phone (314) 892-6565
400 N Caldwell St
Staunton, IL 62088-1173
Phone (618) 635-2022
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital South | Current | Accepting new patients | |
| Mercy Hospital South | Current | Accepting new patients | |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| SSM Medical Group Inc. | Current | Accepting new patients | |
| Midwest Emergency Anderson Health, Inc | Current | Accepting new patients | |
| Midwest Inpatient Anderson Health, Inc | Current | Accepting new patients | |
| Bigeye Emergency Physicians LLC | Past | Accepting new patients |
Locations
6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095
400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200
2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
12700 Southfork Rd
Ste 280
Saint Louis, MO 63128
Phone (314) 525-4990
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- Emergency Medicine Physician
- Staunton, IL
- NPI 1710647615
-
- Pulmonary Disease Physician
- Saint Louis, MO
- NPI 1821137886
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
dba SSM Health Medical Group
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
- Emergency Medicine Physician
- Maryville, IL
- NPI 1821758608
-
- Medicare Defined Swing Bed Hospital Unit
- Saint Louis, MO
- NPI 1033714209
-
dba SSM Health Medical Group
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Emergency Medicine Physician
- Fulton, MO
- NPI 1366829426
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1689124414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD STE 280",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283287",
"telephone_number": "314-892-6565",
"fax_number": "314-892-4828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD STE 280",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283287",
"telephone_number": "314-892-6565",
"fax_number": "314-892-4828"
}
],
"practiceLocations": [
{
"address_1": "10010 Kennerly Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282106",
"country_code": "US",
"telephone_number": "314-525-1906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEEN",
"first_name": "MATTHEW",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-05",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016035658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.