Active NPI
Nash William Keene, STUDENT
- Medical Physician Assistant
- Salem, OR
National Provider Identifier
1912308404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA174358
- Practice address
- 2480 Liberty St NE
Suite 180
Salem, OR 97301-8380 - Phone
- (503) 371-1010
- NPI assigned
- Sep 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA174358 | OR | Primary |
Addresses
Primary practice location
2480 Liberty St NE
Suite 180
Salem, OR 97301-8380
Mailing address
2480 Liberty St NE
Salem, OR 97301-8380
Phone (503) 371-1010
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nkeene568153@oc.providencedirect.org | ||
| Direct Messaging Address | nkeene568153@oc.providencedirect.org | ||
| Direct Messaging Address | nkeene568153@oc.providencedirect.org | ||
| Direct Messaging Address | nkeene568153@oc.providencedirect.org | ||
| Direct Messaging Address | nkeene568153@oc.providencedirect.org | ||
| Direct Messaging Address | nkeene568153@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
2480 Liberty St NE
Suite 180
Salem, OR 97301-8388
Phone (503) 371-1010
Hospital & facility affiliations
- Salem Hospital
- Legacy Silverton Medical Center
- Samaritan North Lincoln Hospital
- Salem Health West Valley
- Santiam Hospital & Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA174358 | OR | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
-
- Pain Medicine (Anesthesiology) Physician
- Salem, OR
- NPI 1942675467
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- Critical Access Hospital
- Lincoln City, OR
- NPI 1306897491
-
- Hematology & Oncology Physician
- Lincoln City, OR
- NPI 1629338868
Hospital
-
- Cardiovascular Disease Physician
- Lincoln City, OR
- NPI 1841554177
Hospital
-
- General Acute Care Hospital
- Stayton, OR
- NPI 1154302214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1912308404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 LIBERTY ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973018380",
"telephone_number": "503-371-1010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 LIBERTY ST NE",
"address_2": "SUITE 180",
"city": "SALEM",
"state": "OR",
"postal_code": "973018380",
"telephone_number": "503-371-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENE",
"first_name": "NASH",
"middle_name": "WILLIAM",
"credential": "STUDENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-16",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA174358",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nkeene568153@oc.providencedirect.org",
"affiliation": "N",
"address_1": "14617 SE McLoughlin Blvd",
"city": "Milwaukie",
"state": "OR",
"country_code": "US",
"postal_code": "972671416",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nkeene568153@oc.providencedirect.org",
"affiliation": "N",
"address_1": "7280 SW Beaverton Hillsdale Hwy",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972252008",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nkeene568153@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9205 SW Barnes Rd",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256603",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nkeene568153@oc.providencedirect.org",
"affiliation": "N",
"address_1": "4805 NE Glisan St",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132933",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nkeene568153@oc.providencedirect.org",
"affiliation": "N",
"address_1": "4340 N Interstate Ave",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972173211",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nkeene568153@oc.providencedirect.org",
"affiliation": "N",
"address_1": "12345 SW Horizon Blvd Ste 57",
"city": "Beaverton",
"state": "OR",
"country_code": "US",
"postal_code": "970079475",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.