MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1396421012

MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC) is a healthcare provider. based in Jacksonville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, PMHNP-BC. They hold a License No. 11027127 (FL). The NPI Number for MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC) is 1396421012

Main info

Female
3 Years Of Experience
Name
MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC)
NPI
1396421012
Phone
(904) 387-4661
Address
555 Stockton St
Enumeration Date
27 June 2023
Last Update Date
11 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535335768
Graduation Year
2023 (3 years ago)
PAC ID
2961934252
Group Practice PAC ID
1557752110
Professional Enrollment ID
I20241212001217
Address ID
WA984242315FI3203XEXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC)

  • 555 Stockton St

    Jacksonville, FL 322042534

    Phone: (904) 387-4661

    Type: Location

  • 14348 COURTNEY WOODS LN

    JACKSONVILLE, FL 322241884

    Phone: (772) 240-4282

    Type: Mailing

  • 3203 WILTON LN E

    FIFE, WA 984242315

    Phone: (253) 533-5768

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $481.

Total Amount is formed as General ($481) + Research ($0) + Ownership ($0) = $481.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($179).

Total Amount

$481

General + Research + Ownership

Payments

9

Total payment records

General Amount

$481

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241010004095INurse PractitionerFLTBD
I20241212001217INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32204)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557752110View full group profile
NameSpecialtyState
Nurse PractitionerWA
Clinical Social WorkerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

How is MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC) identified in CMS data?
CMS-hosted NPPES data lists MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC) with NPI 1396421012.
Is MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC) still practicing?
MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC) is currently listed as active in the public NPI registry.
What is MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC)'s primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC) here. Clinical services aligned with this taxonomy classification.
What address line appears for MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC)?
MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC)'s geographic hint is Jacksonville, Florida in our summary view.
Is the information about MS. CARRIE-ANNE KEANE (MSN, APRN, PMHNP-BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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