COLTON KEENER (PA) – Physician Assistant, NPI 1336653740

COLTON KEENER (PA) is a healthcare provider. based in Spring grove, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. MA067397 (PA). The NPI Number for COLTON KEENER (PA) is 1336653740

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
COLTON KEENER (PA)
NPI
1336653740
Phone
(717) 791-2520
Address
2030 Thistle Hill Dr Ste 202
Enumeration Date
21 November 2017
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
6406114214
Professional Enrollment ID
I20260414003751
Address ID
PA171041612HA409XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for COLTON KEENER (PA)

  • 2030 Thistle Hill Dr Ste 202

    Spring Grove, PA 173621161

    Phone: (717) 791-2520

    Type: Location

  • 302, Southeast Monterey Road, Stuart, Martin County, Florida, 34994, United States

    STUART, FL 349944512

    Phone: (772) 210-2447

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 273 Open Payments records for all available years, with a total value of $4,640.

Total Amount is formed as General ($4,640) + Research ($0) + Ownership ($0) = $4,640.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($993).

Total Amount

$4,640

General + Research + Ownership

Payments

273

Total payment records

General Amount

$4,640

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-12-28

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
I20171228001794IPhysician AssistantFLTBD

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 17362)

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Reviews

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Frequently asked questions

What is the registry number for COLTON KEENER (PA)?
The registry entry for COLTON KEENER (PA) shows NPI 1336653740.
Is COLTON KEENER (PA)'s NPI status active today?
Active status means COLTON KEENER (PA)'s NPI record is not deactivated in the public file.
Which specialty label fits COLTON KEENER (PA)?
NPPES ties COLTON KEENER (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to COLTON KEENER (PA)?
The directory associates COLTON KEENER (PA) with Spring Grove, Pennsylvania. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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