MARY J KEEGAN (APN) – Adult Health Nurse Practitioner, NPI 1336157213

MARY J KEEGAN (APN) is a healthcare provider. based in Farmington, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 082605 (MO). The NPI Number for MARY J KEEGAN (APN) is 1336157213

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
MARY J KEEGAN (APN)
NPI
1336157213
Phone
(573) 756-1813
Address
130 Westmount Dr
Enumeration Date
4 August 2006
Last Update Date
22 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737561813
Graduation Year
1986 (40 years ago)
PAC ID
0143278440
Group Practice PAC ID
7012208952
Professional Enrollment ID
I20050104000165
Address ID
MO636402970FA130XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MARY J KEEGAN (APN)

  • 130 Westmount Dr

    Farmington, MO 636402970

    Phone: (573) 756-1813

    Type: Location

  • 3660, Vista Avenue, Tiffany, City of Saint Louis, Missouri, 63110, United States

    SAINT LOUIS, MO 631102540

    Phone: (314) 977-6100

    Fax: (314) 977-6137

    Type: Location

  • 3691, Rutger Street, Tiffany, City of Saint Louis, Missouri, 63110, United States

    PROVIDER ENROLLMENT

    SAINT LOUIS, MO 631102515

    Phone: (314) 977-4440

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $529.

Total Amount is formed as General ($529) + Research ($0) + Ownership ($0) = $529.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($105).

Total Amount

$529

General + Research + Ownership

Payments

29

Total payment records

General Amount

$529

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

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: 2005-01-04

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
I20050104000165INurse PractitionerMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
99443Telephone medical discussion with physician, 21-30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 63640)

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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: 7012208952View full group profile
NameSpecialtyState
Nurse PractitionerMO
Cardiovascular Disease (Cardiology)MO
Nurse PractitionerMO
Cardiovascular Disease (Cardiology), Internal MedicineMO

Reviews

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Frequently asked questions

What is the standard ID for MARY J KEEGAN (APN) in the U.S.?
In the U.S., MARY J KEEGAN (APN) is identified by NPI 1336157213.
Does the public listing show MARY J KEEGAN (APN) as active?
MARY J KEEGAN (APN)'s NPI record reflects an active status in NPPES.
How should patients interpret MARY J KEEGAN (APN)'s specialty?
The extract shows Adult Health Nurse Practitioner for MARY J KEEGAN (APN). Clinical services aligned with this taxonomy classification.
Which community is linked to MARY J KEEGAN (APN)?
MARY J KEEGAN (APN) shows a connection to Farmington, Missouri in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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