KEEGAN MARIE EVANS – Clinical Social Worker, NPI 1609183995

KEEGAN MARIE EVANS is a healthcare provider. based in Easton, Maryland. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 17722 (MD). The NPI Number for KEEGAN MARIE EVANS is 1609183995

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KEEGAN MARIE EVANS
NPI
1609183995
Phone
(410) 822-5007
Address
29516 Canvasback Dr
Enumeration Date
8 September 2010
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3022573135
Graduation Year
2011 (15 years ago)
PAC ID
0244519775
Group Practice PAC ID
1254753114
Professional Enrollment ID
I20200623000164
Address ID
DE199014948DO1418XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:15State licenses:2Digital endpointsOther names

2,276 CLINICAL SOCIAL WORKER in MD

Provider Addresses for KEEGAN MARIE EVANS

  • 29516 Canvasback Dr

    Suite 200

    Easton, MD 216017140

    Phone: (410) 822-5007

    Fax: (410) 822-5569

    Type: Location

  • 1418 S STATE ST

    DOVER, DE 199014948

    Phone: (302) 257-3135

    Type: Location

  • 8264 GANNON CIR

    EASTON, MD 216017122

    Phone: (410) 200-7694

    Type: Mailing

  • 2336 GODDARD PKWY

    SALISBURY, MD 218011126

    Phone: (410) 334-6961

    Fax: (410) 334-6362

    Type: Mailing

  • 29516 CANVASBACK DR

    SUITE 200

    EASTON, MD 216017140

    Phone: (410) 822-5007

    Fax: (410) 822-5569

    Type: Location

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: 2020-06-23

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
I20200623000164IClinical Social WorkerDETBD

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
90837Psychotherapy, 1 hour14612$0
View full utilization report →

Insurance plans in this area (ZIP 21601)

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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: 1254753114View full group profile
NameSpecialtyState
Nurse PractitionerDE

Reviews

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Frequently asked questions

How do I look up KEEGAN MARIE EVANS by NPI?
Use NPI 1609183995 when you need to reference KEEGAN MARIE EVANS in forms, claims, or directories.
Is KEEGAN MARIE EVANS's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KEEGAN MARIE EVANS's specialty in plain language?
Clinically, the directory lists KEEGAN MARIE EVANS with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for KEEGAN MARIE EVANS?
We surface Easton, Maryland for KEEGAN MARIE EVANS based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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