Active NPI
Raymond Joseph Keener, MSN FNP-BC
- Family Nurse Practitioner
- La Porte, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28160911A
- Practice address
- 711 W 250 S
La Porte, IN 46350-8108 - Phone
- (317) 966-0532
- NPI assigned
- Mar 15, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28160911A | IN | Primary |
Addresses
Primary practice location
711 W 250 S
La Porte, IN 46350-8108
Mailing address
711 W 250 S
La Porte, IN 46350-8108
Phone (317) 966-0532
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Potters LN
Clarksville, IN 47129-1017
Phone (443) 383-9300
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28160911A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Applegarth Dermatology PC | Current | Accepting new patients | |
| Applegarth Dermatology PC | Past | Accepting new patients |
Locations
101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808
150 Beechmont Dr NE
Corydon, IN 47112
Phone (812) 738-0550
2640 Cold Spring Rd
#A
Indianapolis, IN 46222
Phone (315) 909-1540
3444 Monroe St
La Porte, IN 46350
Phone (219) 362-0161
105 Water St
Plymouth, IN 46563
Phone (574) 540-2052
1861 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 548-0360
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Valparaiso, IN
- NPI 1619010626
-
- Medical Physician Assistant
- Valparaiso, IN
- NPI 1982096822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584230400000",
"number": "1922634542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 W 250 S",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463508108",
"telephone_number": "317-966-0532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 W 250 S",
"city": "LA PORTE",
"state": "IN",
"postal_code": "463508108",
"telephone_number": "317-966-0532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENER",
"first_name": "RAYMOND",
"middle_name": "JOSEPH",
"credential": "MSN FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-15",
"last_updated": "2020-03-15",
"certification_date": "2020-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28160911A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2020; 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.