Individual provider Active NPI

Jennifer A Keefe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • York, ME
National Provider Identifier
1992344287
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
000000 Issued in ME
Practice address
32 York St
York, ME 03909-1309
Phone
(207) 351-3960
Fax
(207) 351-3963
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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 000000 ME Primary

Addresses

Primary practice location

32 York St
York, ME 03909-1309

Mailing address

15 Hospital Dr
York, ME 03909-1099
Phone (207) 351-2478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20200506002491 ME Practitioner - Nurse Practitioner 5395176374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Community Health CenterGroup PAC ID 5395998017, 37 clinicians

Practice addresses (Care Compare)

100 Brickhill Ave
Suite 301
Portland, ME 04106-1999
Phone (207) 874-2141

180 Park Ave
Portland, ME 04102-2957
Phone (207) 874-2141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000MEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
York Hospital CurrentSince Mar 2, 2020 Accepting new patients
Portland Community Health Center Current Accepting new patients
Seacoast Pathology Inc Current Accepting new patients
Portland Community Health Center CurrentSince Aug 16, 2023 Accepting new patients
Portland Community Health Center CurrentSince Aug 16, 2023 Accepting new patients
York Hospital PastSince Mar 2, 2020 Accepting new patients

Locations

180 Park Ave
Ste 1
Portland, ME 04102
Phone (207) 828-2101

180 Park Ave
Portland, ME 04102
Phone (207) 772-3703

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

32 York St
York, ME 03909
Phone (207) 351-3960

16 Hospital Dr
Ste C
York, ME 03909
Phone (207) 351-3455

Interoperability endpoints

  • Direct secure messaging: jennifer.keefe.p1@direct.portlandchc.nextgenshare.com

Organizations & group practices 6

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1992344287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HOSPITAL DR",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091099",
            "telephone_number": "207-351-2478",
            "fax_number": "207-351-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 YORK ST",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091309",
            "telephone_number": "207-351-3960",
            "fax_number": "207-351-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ME",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

Verify at the official NPI Registry.