Individual provider Active NPI

Denise Keegan, CRNP

  • Adult Health Nurse Practitioner
  • Feasterville Trevose, PA
National Provider Identifier
1770660698
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
UP004415C Issued in PA
Practice address
23 Bustleton Pike
Suite 200
Feasterville Trevose, PA 19053-6446
Phone
(215) 464-0770
Fax
(215) 464-8208
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X UP004415C PA Primary

Addresses

Primary practice location

23 Bustleton Pike
Suite 200
Feasterville Trevose, PA 19053-6446

Mailing address

1648 Huntingdon Pike
Medical Staff Office 1St FLR
Meadowbrook, PA 19046-8001
Phone (215) 938-3450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20050516000517 PA Practitioner - Nurse Practitioner 4284675737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HR Physician ServicesGroup PAC ID 0042109902, 188 clinicians

Practice addresses (Care Compare)

1616 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 436-1420

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 436-1420

23 Bustleton Pike
Feasterville Trevose, PA 19053-6446

910 2ND St Pike
Richboro, PA 18954-1527
Phone (215) 436-1420

Hospital & facility affiliations

  • Holy Redeemer Home Care-PA Home health agency, Philadelphia, PA, CCN 397104
  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Holy Redeemer Hospital and Medical Center Hospital, Meadowbrook, PA, CCN 390097
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Temple University Hospital Hospital, Philadelphia, PA, CCN 390027
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
UP004415CPAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HR Physician Services CurrentSince Jan 1, 2013 Accepting new patients
HR Physician Services Current Accepting new patients
HR Physician Services CurrentSince Jan 1, 2013 Accepting new patients
HR Physician Services Adult Health Past Accepting new patients

Locations

23 Bustleton Pike
Ste 200
Feasterville Trevose, PA 19053
Phone (215) 464-0770

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Ofc 1ST
Meadowbrook, PA 19046

10160 Bustleton Ave
Ste A
Philadelphia, PA 19116
Phone (215) 364-0777

910 2nd Street Pike
Richboro, PA 18954
Phone (215) 322-2753

295 Buck Rd
Ste 111
Southampton, PA 18966
Phone (215) 464-0770

Interoperability endpoints

  • Direct secure messaging: denise.keegan.1@17399.direct.athenahealth.com

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1770660698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "address_2": "MEDICAL STAFF OFFICE 1ST FLR",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-938-3450",
            "fax_number": "215-938-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 BUSTLETON PIKE",
            "address_2": "SUITE 200",
            "city": "FEASTERVILLE TREVOSE",
            "state": "PA",
            "postal_code": "190536446",
            "telephone_number": "215-464-0770",
            "fax_number": "215-464-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "DENISE",
        "name_prefix": "Miss",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-07-08",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "UP004415C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Feasterville Trevose, PA

Sources for this page

Verify at the official NPI Registry.