Kaylee Keener, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-930 Issued in AR

Practice address

4305 S Pleasant Crossing Blvd Ste 3
Rogers, AR 72758-1495

Phone

(479) 278-7414

Fax

(479) 278-7157

NPI assigned

Feb 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: kkeener226102@christushealth.direct-ci.net

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  AR

  Medicare reassignment
• Comprehensive Health of Planned Parenthood Great Plains

  • Nurse Practitioner
  • Overland Park, KS
  • NPI 1336282573
  NPD (past)
• Planned Parenthood Great Plains

  • Women's Health Nurse Practitioner
  • Kansas City, MO
  • NPI 1679614838
  NPD (past)
• Planned Parenthood of Arkansas and Eastern Oklahoma, Inc

  dba Planned Parenthood of the Heartland, Inc

  • Multi-Specialty Clinic/Center
  • Tulsa, OK
  • NPI 1831185412
  NPD (past)

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1710443544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 W POPLAR ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564246",
            "telephone_number": "501-441-6522",
            "fax_number": "479-337-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 S PLEASANT CROSSING BLVD STE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581495",
            "telephone_number": "479-278-7414",
            "fax_number": "479-278-7157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1222 W Poplar St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727564246",
            "country_code": "US",
            "telephone_number": "501-441-6522",
            "fax_number": "479-337-5302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENER",
        "first_name": "KAYLEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-17",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13490",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4823",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1F5971",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCRR",
            "identifier": "P02599441",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200911220A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410600702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla K. Gaines, D.D.S., P.a.
• Kirklyn Kasischke
• Kaylee Luttrell Speech Pathology PLLC (Just Kids Speech Therapy)
• Joshua Keene, LMFT
• Abby Keener, DC
• Keever Pediatrics PA
• Craig Keever, MD
• Martin J Kelly, CRNA
• Shannon Marie Kelly, RN
• Brandon B. Kemp, CRNA

• Physician Assistant in Rogers, AR
• Providers in Rogers, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.