EMILY KEEN (NP) – Gerontology Nurse Practitioner, NPI 1588064638

EMILY KEEN (NP) is a healthcare provider. based in Kentwood, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704310718 (MI). The NPI Number for EMILY KEEN (NP) is 1588064638

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
EMILY KEEN (NP)
NPI
1588064638
Phone
Not provided
Address
1900 44TH ST SE
Enumeration Date
26 August 2014
Last Update Date
30 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6166851835
Graduation Year
2014 (12 years ago)
PAC ID
8325364029
Group Practice PAC ID
4981500436
Professional Enrollment ID
I20150223001393
Address ID
MI495034502GR200XXSEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for EMILY KEEN (NP)

  • 1900 44TH ST SE

    KENTWOOD, MI 495085008

    Phone:

    Type: Mailing

  • 200 JEFFERSON AVE SE

    5TH FLOOR

    GRAND RAPIDS, MI 495034502

    Phone: (616) 685-8500

    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: 2015-02-23

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
I20150223001393INurse PractitionerMITBD

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
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4935$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1912$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 49508)

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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: 4981500436View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)PA
-MI
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

Can I verify EMILY KEEN (NP) with an NPI only?
You can start verification with NPI 1588064638 for EMILY KEEN (NP), then check state licensing separately.
Does the file indicate EMILY KEEN (NP) is practicing under active NPI?
Directory data currently reports EMILY KEEN (NP) as active.
What is EMILY KEEN (NP) best known for clinically?
Directory data describes EMILY KEEN (NP) with Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is EMILY KEEN (NP) based?
EMILY KEEN (NP) is tied to Kentwood, 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.

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