NPIMap

Individual provider Active NPI

Lindsey A. Keeney, PA-C

  • Physician Assistant
  • Ripley, WV
National Provider Identifier
1871977355
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1909 Issued in WV
Practice address
512A Church St S
Ripley, WV 25271-1616
Phone
(304) 372-1033
Fax
(304) 373-0223
NPI assigned
Jul 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1909 WV Primary

Addresses

Primary practice location

512A Church St S
Ripley, WV 25271-1616

Mailing address

PO Box 609
Elizabeth, WV 26143-0609
Phone (304) 275-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001001383 WV Practitioner - Physician Assistant 8325356959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wirt County Health Services Association, IncGroup PAC ID 7810806577, 31 clinicians

Practice addresses (Care Compare)

562 Charleston Dr
Ripley, WV 25271-1533
Phone (304) 372-7341

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Vienna, WV, CCN 517074
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Jackson General Hospital Hospital, Ripley, WV, CCN 511320
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wirt County Health Services Association, Inc CurrentSince Jun 19, 2021 Accepting new patients
Wirt County Health Services Association Inc CurrentSince Jun 24, 2017 Accepting new patients
Wirt County Health Services Association, Inc Current Accepting new patients
Wirt County Health Services Association, Inc Current Accepting new patients
Wirt County Health Services Association Inc CurrentSince Jun 24, 2017 Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Jun 19, 2021 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Ges Hospitalist Services Inc Past Accepting new patients

Locations

483 Court St
Elizabeth, WV 26143
Phone (304) 275-3301

2610 Camden Ave
Parkersburg, WV 26101
Phone (304) 428-1161

606 Washington St
Ravenswood, WV 26164
Phone (304) 273-1033

512A Church St S
Ripley, WV 25271
Phone (304) 372-1033

562 Charleston Dr
Ripley, WV 25271
Phone (304) 372-7341

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1871977355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512A CHURCH ST S",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711616",
            "telephone_number": "304-372-1033",
            "fax_number": "304-373-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENEY",
        "first_name": "LINDSEY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "1909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

Verify at the official NPI Registry.