Individual provider Active NPI

Jennifer Marsden Kekis

  • Psychiatric/Mental Health Nurse Practitioner
  • Albany, NY
National Provider Identifier
1982246310
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402610-1 Issued in NY
Practice address
260 S Pearl St
Albany, NY 12202-1809
Phone
(518) 447-4555
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402610-1 NY Primary

Addresses

Primary practice location

260 S Pearl St
Albany, NY 12202-1809

Mailing address

6 Wedgewood LN
Voorheesville, NY 12186-9702
Phone (518) 362-6148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20191119002499 NY Practitioner - Nurse Practitioner 9537591169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Northeast Parent and Child Society IncGroup PAC ID 9335455153, 4 clinicians
Parsons Child and Family CenterGroup PAC ID 9931403656, 10 clinicians

Practice addresses (Care Compare)

327 Abbottsford Rd
Schenectady, NY 12304-4706
Phone (518) 381-8911

401 New Karner Rd
Albany, NY 12205-3854
Phone (518) 431-1650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F402610-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Parent and Child Society, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Parsons Child and Family Center CurrentSince Sep 22, 2021 Accepting new patients

Locations

60 Academy Rd
Albany, NY 12208
Phone (518) 292-5499

401 New Karner Rd
Colonie, NY 12205
Phone (518) 456-3614

2452 State Route 9
Ste 206
Malta, NY 12020
Phone (518) 242-6980

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1982246310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WEDGEWOOD LN",
            "city": "VOORHEESVILLE",
            "state": "NY",
            "postal_code": "121869702",
            "telephone_number": "518-362-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S PEARL ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021809",
            "telephone_number": "518-447-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEKIS",
        "first_name": "JENNIFER",
        "middle_name": "MARSDEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402610-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.