NPIMap

Individual provider Active NPI

Jennifer Keeley, CRNP-BC, DNP

  • Adult Health Nurse Practitioner
  • Wexford, PA
National Provider Identifier
1932488046
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP011528 Issued in PA
Practice address
12311 Perry Hwy
Wexford, PA 15090-8344
Phone
(412) 359-6550
Fax
(412) 359-6494
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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 SP011528 PA Primary

Addresses

Primary practice location

12311 Perry Hwy
Wexford, PA 15090-8344

Mailing address

320 E North Ave
Pittsburgh, PA 15212-4756
Phone (412) 359-6550

Other identifiers 1

IdentifierTypeStateIssuer
1030267380001MedicaidPA

Other names 1

  • Jennifer Haser Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jkeeley56864@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120508000262 PA Practitioner - Nurse Practitioner 7810159928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Pittsburgh School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

320 E N Ave
Pittsburgh, PA 15212-4756

490 E N Ave
Pittsburgh, PA 15212-4740

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Apr 22, 2015 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Apr 22, 2015 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

1624 Pacific Ave
Ste B
Natrona Hts, PA 15065
Phone (412) 359-6444

4815 Liberty Ave
Ste 439
Pittsburgh, PA 15224
Phone (412) 578-3925

490 E North Ave
Ste 307
Pittsburgh, PA 15212
Phone (412) 321-4925

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

12311 Perry Hwy
Wexford, PA 15090
Phone (878) 332-4143

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1932488046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E NORTH AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124756",
            "telephone_number": "412-359-6550",
            "fax_number": "412-359-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "412-359-6550",
            "fax_number": "412-359-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "JENNIFER",
        "credential": "CRNP-BC, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP011528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030267380001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkeeley56864@direct.ahn.org",
            "affiliation": "N",
            "address_1": "320 E North Ave",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HASER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.