STEPHANIE ANN KEENER (PA-C) – Medical Physician Assistant, NPI 1023618428
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for STEPHANIE ANN KEENER (PA-C)
100 CROWNE POINT PL
CINCINNATI, OH 452415427
Phone: (513) 743-7628
Fax: (513) 737-1107
Type: Mailing
7774 HYTHE CIR
CENTERVILLE, OH 454598705
Phone: (407) 310-2914
Type: Mailing
9505 Montgomery Rd Ste 201
Montgomery, OH 452427248
Phone: (513) 815-3667
Type: Location
888 Dayton St Unit 106
Yellow Springs, OH 453871778
Phone: (937) 767-1088
Type: Location
3103 DIXIE HWY
HAMILTON, OH 450151653
Phone: (513) 892-4673
Fax: (513) 737-1107
Type: Mailing
36 N DETROIT ST STE 105
XENIA, OH 453852963
Phone: (937) 610-4673
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $1,039.
Total Amount is formed as General ($1,039) + Research ($0) + Ownership ($0) = $1,039.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($457).
Total Amount
$1,039
General + Research + Ownership
Payments
55
Total payment records
General Amount
$1,039
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $457 |
| ABBVIE INC. | $444 |
| Alkermes, Inc. | $109 |
| Indivior Inc. | $29 |
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: 2020-11-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201120001021 | I | Physician Assistant | OH | TBD |
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.
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 45241)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OH | |
| Internal Medicine | OH | |
| Mental Health Counselor | OH | |
| - | OH | |
| Family Practice | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH |
Reviews
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