KRISTY M KEENEY (APRN) – Nurse Practitioner, NPI 1265893622

KRISTY M KEENEY (APRN) is a healthcare provider. based in Bowling green, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3010173 (KY). The NPI Number for KRISTY M KEENEY (APRN) is 1265893622

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KRISTY M KEENEY (APRN)
NPI
1265893622
Phone
(270) 783-8003
Address
1106 FAIRWAY ST
Enumeration Date
14 March 2016
Last Update Date
14 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2707838003
Graduation Year
2015 (11 years ago)
PAC ID
3173815347
Group Practice PAC ID
9032281191
Professional Enrollment ID
I20160707002615
Address ID
KY421032418BO1106XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

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Provider Addresses for KRISTY M KEENEY (APRN)

  • 1106, Fairway Street, Bowling Green, Warren County, Kentucky, 42103, United States

    BOWLING GREEN, KY 421032418

    Phone: (270) 783-8003

    Fax: (270) 783-8005

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160707002615INurse PractitionerKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths2,318436$0
11103Biopsy of related skin growth, each additional growth1,405650$0
11102Biopsy of related skin growth, first growth1,3121,033$0
99213Established patient office or other outpatient visit, 20-29 minutes951830$0
17000Destruction of precancer skin growth, 1 growth878659$0
View full utilization report →

Insurance plans in this area (ZIP 42103)

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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: 9032281191View full group profile
NameSpecialtyState
D E R M A T O L O G YKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for KRISTY M KEENEY (APRN)?
KRISTY M KEENEY (APRN) — NPI 1265893622 — is the standard way to identify this listing.
Does the file indicate KRISTY M KEENEY (APRN) is practicing under active NPI?
Directory data currently reports KRISTY M KEENEY (APRN) as active.
What is KRISTY M KEENEY (APRN)'s specialty?
The listing groups KRISTY M KEENEY (APRN) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KRISTY M KEENEY (APRN) list a practice location?
Patients near Bowling Green, Kentucky may find KRISTY M KEENEY (APRN) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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