Individual provider Active NPI

Brittnee Keyes, FNP

  • Family Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1700374378
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704317932 Issued in MI
Practice address
1221 Sixth St Ste 306
Traverse City, MI 49684-2361
Phone
(231) 935-2400
Fax
(231) 935-2424
NPI assigned
Apr 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704317932 MI Primary

Addresses

Primary practice location

1221 Sixth St Ste 306
Traverse City, MI 49684-2361

Mailing address

PO Box 1131
Traverse City, MI 49685-1131
Phone (231) 935-6080

Other practice location 1

701 W Front St Ste 200
Traverse City, MI 49684-2287
Phone (231) 346-4000

Other practice location 2

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-7514

Other practice location 3

3537 W Front St Ste E
Traverse City, MI 49684-7943
Phone (231) 935-5880

Other practice location 4

1221 Sixth St Ste 300
Traverse City, MI 49684-2360
Phone (319) 352-4002

Other practice location 5

1221 Sixth St Ste 100
Traverse City, MI 49684-2359
Phone (231) 935-0322

Other practice location 6

217 S Madison St Ste 100
Traverse City, MI 49684-2321
Phone (231) 392-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180619003004 MI Practitioner - Nurse Practitioner 7214282011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704317932MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Jun 1, 2018 Accepting new patients
Munson Medical Center Nurse Practitioner CurrentSince Jun 1, 2018 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1221 Sixth St
Ste 306
Traverse City, MI 49684
Phone (231) 935-2400

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

701 W Front St
Ste 200
Traverse City, MI 49684
Phone (231) 346-4000

1221 Sixth St
Ste 300
Traverse City, MI 49684
Phone (231) 392-0640

1221 Sixth St
Ste 100
Traverse City, MI 49684
Phone (231) 392-8400

3537 W Front St
Ste E
Traverse City, MI 49684
Phone (231) 935-5880

1110 Sixth St
Ste 100
Traverse City, MI 49684
Phone (231) 392-8400

4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900

Organizations & group practices 4

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": "1524873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1700374378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1131",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496851131",
            "telephone_number": "231-935-6080",
            "fax_number": "231-935-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SIXTH ST STE 306",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842361",
            "telephone_number": "231-935-2400",
            "fax_number": "231-935-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Front St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842287",
            "country_code": "US",
            "telephone_number": "231-346-4000",
            "fax_number": "231-932-7311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-7514",
            "fax_number": "231-392-0039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 W Front St Ste E",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847943",
            "country_code": "US",
            "telephone_number": "231-935-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Sixth St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842360",
            "country_code": "US",
            "telephone_number": "319-352-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 Sixth St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842359",
            "country_code": "US",
            "telephone_number": "231-935-0322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 S Madison St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842321",
            "country_code": "US",
            "telephone_number": "231-392-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYES",
        "first_name": "BRITTNEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-28",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704317932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.