MRS. KEONA PHILLIPS (AGACNP) – Acute Care Nurse Practitioner, NPI 1083325880

MRS. KEONA PHILLIPS (AGACNP) is a healthcare provider. based in Camden, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP. They hold a License No. 26NJ01207500 (NJ). The NPI Number for MRS. KEONA PHILLIPS (AGACNP) is 1083325880

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KEONA PHILLIPS (AGACNP)
NPI
1083325880
Phone
(848) 288-6935
Address
1 FEDERAL ST STE 200
Enumeration Date
13 December 2022
Last Update Date
4 December 2023

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
8563423014
Graduation Year
2020 (6 years ago)
PAC ID
2567836877
Group Practice PAC ID
3678569951
Professional Enrollment ID
I20230327003083
Address ID
NJ081031461CA1XXXXPLZX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

7,508 NURSE PRACTITIONER in NJ

Provider Addresses for MRS. KEONA PHILLIPS (AGACNP)

  • 1 FEDERAL ST STE 200

    CAMDEN, NJ 081031088

    Phone: (848) 288-6935

    Type: Mailing

  • 1 COOPER PLZ

    CAMDEN, NJ 081031461

    Phone: (856) 342-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($34).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$34
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: 2023-03-27

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
I20230327003083INurse PractitionerNJTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9164$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5038$0
99238Hospital discharge day management, 30 minutes or less3737$0
View full utilization report →

Insurance plans in this area (ZIP 08103)

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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: 3678569951View full group profile
NameSpecialtyState
General Surgery, Critical Care (Intensivists)NJ
Nurse PractitionerNJ
Nurse PractitionerNJ
General SurgeryPA
Nurse PractitionerNJ
General SurgeryNJ
Physician AssistantGA
General SurgeryPA
Nurse PractitionerNJ
General Surgery, Critical Care (Intensivists)TX

Reviews

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Frequently asked questions

Is there an official ID for MRS. KEONA PHILLIPS (AGACNP) in U.S. healthcare records?
The official identifier for MRS. KEONA PHILLIPS (AGACNP) is NPI 1083325880.
Would MRS. KEONA PHILLIPS (AGACNP) appear as active to a payer?
You can treat MRS. KEONA PHILLIPS (AGACNP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MRS. KEONA PHILLIPS (AGACNP)'s focus?
For MRS. KEONA PHILLIPS (AGACNP), the primary taxonomy reads as Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. KEONA PHILLIPS (AGACNP) associated with Camden?
Public fields place MRS. KEONA PHILLIPS (AGACNP) around Camden, New Jersey. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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