Andrea Renee Keane, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71004638A Issued in IN

Practice address

1725 E Tipton St Ste 200
Seymour, IN 47274-3561

Phone

(812) 519-2963

Fax

(812) 519-3515

NPI assigned

Sep 19, 2013

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

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

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acorn Addiction Centers LLC Dba Journey Road Treatment CentersGroup PAC ID 1951605161, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: journeyroadtreatmentcenter.andreakeane@135351.advancedmd-direct.com

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.

• Acorn Addiction Centers LLC Dba Journey Road Treatment Centers

  • Addiction Medicine (Family Medicine) Physician
  • Indianapolis, IN
  • NPI 1467824698
  Medicare reassignment Care Compare group NPD
• J Clayton Spine and Health LLC

  • Family Nurse Practitioner
  • Greensburg, IN
  • NPI 1801594155
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1720414915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E TIPTON ST STE 200",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743561",
            "telephone_number": "812-519-2963",
            "fax_number": "812-519-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E TIPTON ST STE 200",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472743561",
            "telephone_number": "812-519-2963",
            "fax_number": "812-519-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "ANDREA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-19",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004638A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000855316",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201190520",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Kalsted, MD
• Robert Dale Kamman
• Vaishali Karnik, MD
• KDG Indiana One LLC
• KDG Indiana Two LLC
• Heather Keith, LMHC
• Brandon Thomas Kellinghaus, MD
• McKayla Kelp
• Lesley Marie Kendall, M.S., R.D., C.D.
• Kenneth E Bobb MD PC

• Family Nurse Practitioner in Seymour, IN
• Providers in Seymour, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.