LISA O'KEEFE (R.N., A.G.N.P) – Adult Health Nurse Practitioner, NPI 1114336989

LISA O'KEEFE (R.N., A.G.N.P) is a healthcare provider. based in Detroit, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials R.N., A.G.N.P. They hold a License No. 28172567A (IN). The NPI Number for LISA O'KEEFE (R.N., A.G.N.P) is 1114336989

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LISA O'KEEFE (R.N., A.G.N.P)
NPI
1114336989
Phone
(317) 528-4800
Address
PO BOX 781076
Enumeration Date
6 August 2014
Last Update Date
9 July 2020

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
2197509497
Graduation Year
2014 (12 years ago)
PAC ID
4183843113
Group Practice PAC ID
8022292861
Professional Enrollment ID
I20140924000082
Address ID
IN463222204HI9030XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for LISA O'KEEFE (R.N., A.G.N.P)

  • PO BOX 781076

    DETROIT, MI 482781076

    Phone: (317) 528-4800

    Type: Mailing

  • 24 JOLIET ST

    DYER, IN 463111705

    Phone: (219) 322-5747

    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: 2014-09-24

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
I20140924000082INurse PractitionerINTBD

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
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes16178$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes9148$0
99214Established patient office or other outpatient visit, 30-39 minutes7154$0
96160Administration and interpretation of patient-focused health risk assessment6745$0
99497Advance care planning, first 30 minutes6452$0
View full utilization report →

Insurance plans in this area (ZIP 48278)

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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: 8022292861View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIL
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerIN
-IN
Family PracticeIL
General Practice, Internal MedicineIN
P O D I A T R YIA
-IN

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Frequently asked questions

How is LISA O'KEEFE (R.N., A.G.N.P) identified in CMS data?
CMS-hosted NPPES data lists LISA O'KEEFE (R.N., A.G.N.P) with NPI 1114336989.
Does CMS list LISA O'KEEFE (R.N., A.G.N.P) as active?
Yes — LISA O'KEEFE (R.N., A.G.N.P) is active in the NPI listing used on this page.
What healthcare role does LISA O'KEEFE (R.N., A.G.N.P) hold?
Scheduling teams often label LISA O'KEEFE (R.N., A.G.N.P) under Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is LISA O'KEEFE (R.N., A.G.N.P) based?
LISA O'KEEFE (R.N., A.G.N.P) is tied to Detroit, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.