Katie Keenan

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

13412-33 Issued in WI

Practice address

11040 N State Road 77
Hayward, WI 54843-3606

Phone

(715) 934-4321

NPI assigned

Dec 26, 2022

Last updated

Dec 26, 2022By 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 WI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Services, IncGroup PAC ID 9436061363, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.05 of 100Reported as group

Quality

87.37

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medical Services, Inc

  dba Tamarack Health Hayward Medical Center

  • Critical Access Hospital
  • Hayward, WI
  • NPI 1912992827
  Medicare reassignment Care Compare group NPD
• Memorial Medical Center Inc

  dba Tamarack Health Ashland Medical Center

  • Critical Access Hospital
  • Ashland, WI
  • NPI 1437179231
  Medicare reassignment NPD
• Medical Services, Inc

  dba Clinic Services of Hayward Area Memorial Hospital

  • Rural Health Clinic/Center
  • Hayward, WI
  • NPI 1386316537
  NPD
• Memorial Medical Center Inc

  dba Tamarack Health Ashland Clinic

  • Rural Health Clinic/Center
  • Ashland, WI
  • NPI 1770255937
  NPD

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672012800000",
    "number": "1730892589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W3494 HAMILTON RD",
            "city": "SPRINGBROOK",
            "state": "WI",
            "postal_code": "548759301",
            "telephone_number": "940-435-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 N STATE ROAD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548433606",
            "telephone_number": "715-934-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "KATIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "13412-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Beth Kahl, MD
• Jody L Kane, MS
• Julia L Karibalis, MS
• Jill M Karlsson, PSYD
• Karianna Marie Kearns, MA, LMFT
• Brent L Kelley, M.D.
• David G Kelling, DC
• Alyson May Kelsey, PA-C, MED, LAT, ATC
• Constance M Kelsey, SLP
• Kathleen Ann Kephart

• Certified Registered Nurse Anesthetist in Hayward, WI
• Providers in Hayward, WI by specialty
• Certified Registered Nurse Anesthetist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.