KIRSI ELIZABETH KEENER – Family Nurse Practitioner, NPI 1285406371

KIRSI ELIZABETH KEENER is a healthcare provider. based in Zimmerman, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 10916 (MN). The NPI Number for KIRSI ELIZABETH KEENER is 1285406371

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KIRSI ELIZABETH KEENER
NPI
1285406371
Phone
(612) 239-9634
Address
24990 96TH ST NW
Enumeration Date
23 October 2023
Last Update Date
4 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7635725700
Graduation Year
2023 (3 years ago)
PAC ID
8921456054
Group Practice PAC ID
3375645179
Professional Enrollment ID
I20231129002327
Address ID
MN553047608AN13819NWXX400
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

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KIRSI ELIZABETH KEENER

  • 24990 96TH ST NW

    ZIMMERMAN, MN 553989547

    Phone: (612) 239-9634

    Type: Mailing

  • 720 WASHINGTON AVE SE STE 200

    MINNEAPOLIS, MN 554142924

    Phone: (612) 884-0851

    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: 2023-11-29

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
I20231129002327INurse PractitionerMNTBD

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 55398)

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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: 3375645179View full group profile
NameSpecialtyState
P A T H O L O G YMN
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
-MN
Physician AssistantMN
Physician AssistantMN
-MN
-MN
Physical Therapist In Private PracticeOR
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What unique ID ties claims to KIRSI ELIZABETH KEENER?
NPI 1285406371 is assigned to KIRSI ELIZABETH KEENER under the national enumeration system.
Is KIRSI ELIZABETH KEENER active in the national directory?
KIRSI ELIZABETH KEENER's public NPI profile is in an active state.
What field does KIRSI ELIZABETH KEENER work in?
You can think of KIRSI ELIZABETH KEENER as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place KIRSI ELIZABETH KEENER?
The snapshot lists Zimmerman, Minnesota for KIRSI ELIZABETH KEENER; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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