JEANA LEE KEITH (APRN-CNP) – Primary Care Nurse Practitioner, NPI 1780448928

JEANA LEE KEITH (APRN-CNP) is a healthcare provider. based in Russell springs, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. 4015987 (KY). The NPI Number for JEANA LEE KEITH (APRN-CNP) is 1780448928

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JEANA LEE KEITH (APRN-CNP)
NPI
1780448928
Phone
(765) 580-9603
Address
555 JONAH KELSEY RD
Enumeration Date
8 February 2024
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6066780599
Graduation Year
2023 (3 years ago)
PAC ID
1153768130
Group Practice PAC ID
5092854034
Professional Enrollment ID
I20240326003203
Address ID
KY425031708SO50XXXDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for JEANA LEE KEITH (APRN-CNP)

  • 555 JONAH KELSEY RD

    RUSSELL SPRINGS, KY 426428614

    Phone: (765) 580-9603

    Type: Mailing

  • 6470 S HIGHWAY 27

    SOMERSET, KY 425016075

    Phone: (606) 341-1339

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $438.

Total Amount is formed as General ($438) + Research ($0) + Ownership ($0) = $438.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Astellas Pharma US Inc ($182).

Total Amount

$438

General + Research + Ownership

Payments

21

Total payment records

General Amount

$438

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-03-26

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
I20240326003203INurse 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.

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

Insurance plans in this area (ZIP 42642)

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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: 5092854034View full group profile
NameSpecialtyState
Nurse PractitionerKY
Internal Medicine, Interventional CardiologyOH
Cardiovascular Disease (Cardiology), Interventional CardiologyTN
Internal Medicine, Cardiovascular Disease (Cardiology)KY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What identifier follows JEANA LEE KEITH (APRN-CNP) across health systems?
The NPI 1780448928 uniquely identifies JEANA LEE KEITH (APRN-CNP) in U.S. healthcare data.
Is JEANA LEE KEITH (APRN-CNP)'s NPI status active today?
Active status means JEANA LEE KEITH (APRN-CNP)'s NPI record is not deactivated in the public file.
Which specialty label fits JEANA LEE KEITH (APRN-CNP)?
NPPES ties JEANA LEE KEITH (APRN-CNP) to Primary Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JEANA LEE KEITH (APRN-CNP)?
JEANA LEE KEITH (APRN-CNP) is associated with Russell Springs, Kentucky in the same public data insurers reference.
Who maintains JEANA LEE KEITH (APRN-CNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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