Keegen Jonelle Barboo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13217 Issued in TX

Practice address

6022 Farm to Market Rd
1488
Magnolia, TX 77354

Phone

(281) 583-1980

NPI assigned

Dec 5, 2019

Last updated

Nov 29, 2023By 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 TX

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: kbarboo701948@memorialhermann.direct-ci.com

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.

• Memorial Hermann Urgent Care PLLC

  dba Memorial Hermann-GoHealth Urgent Care

  • Family Medicine Physician
  • Sugar Land, TX
  • NPI 1730821208
  Medicare reassignment Care Compare group
• Star Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Magnolia, TX
  • NPI 1871933259
  Medicare reassignment
• Star Urgent Care Management Inc

  dba Star Urgent Care

  • Urgent Care Clinic/Center
  • Magnolia, TX
  • NPI 1427493139
  NPD (past)

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1710524079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 N COCHRANS GREEN CIR",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773816210",
            "telephone_number": "808-391-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 FARM TO MARKET RD",
            "address_2": "1488",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "77354",
            "telephone_number": "281-583-1980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Pine Market Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "TX",
            "postal_code": "773165023",
            "country_code": "US",
            "telephone_number": "936-588-3514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARBOO",
        "first_name": "KEEGEN",
        "middle_name": "JONELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B-Phy Healthy LLC
• Sarah Ann Bade
• Raylynn Balli
• Alexis Balusek
• Sarah Baqer, RPH
• Tracy Lynn Barney, LCSW
• Jason Turner Barranco, M.P.T.
• Dennis L Bartasis, D.O.
• Nicole Bassett
• Cecilia Marie Baxter, PARAMEDICAL TATTOO

• Physician Assistant in Magnolia, TX
• Providers in Magnolia, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.