MARKIETRA KEESE – Primary Care Nurse Practitioner, NPI 1528845898

MARKIETRA KEESE is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP028204 (PA). The NPI Number for MARKIETRA KEESE is 1528845898

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MARKIETRA KEESE
NPI
1528845898
Phone
(215) 383-0341
Address
5050 PARKSIDE AVE STE 2
Enumeration Date
11 September 2023
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3126008484
Graduation Year
2023 (3 years ago)
PAC ID
8527413020
Group Practice PAC ID
7517213879
Professional Enrollment ID
I20231018000239
Address ID
PA191314714PH5050XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:2State licenses:1Digital endpointsOther names

11,473 NURSE PRACTITIONER in PA

Provider Addresses for MARKIETRA KEESE

  • 5050 PARKSIDE AVE STE 2

    PHILADELPHIA, PA 191314751

    Phone: (215) 383-0341

    Type: Location

  • PO BOX 746722

    ATLANTA, GA 303746722

    Phone: (312) 733-9730

    Type: Mailing

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: 2023-10-18

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
I20231018000239INurse PractitionerPATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 19131)

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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: 7517213879View full group profile
NameSpecialtyState
Family PracticeGA
Family PracticeNJ
Nurse PractitionerMD
Nurse PractitionerPA
Nurse PractitionerPA
-PA
-IL
Mental Health CounselorPA
Addiction Medicine, Family PracticeGA
Family PracticePA

Reviews

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Frequently asked questions

What number should I use to identify MARKIETRA KEESE for billing?
Administrative and clinical systems typically use NPI 1528845898 for MARKIETRA KEESE.
Is MARKIETRA KEESE currently accepting referrals based on NPI status?
Registry metadata lists MARKIETRA KEESE as active.
Which specialty label fits MARKIETRA KEESE?
NPPES ties MARKIETRA KEESE to Primary Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MARKIETRA KEESE in Philadelphia, Pennsylvania?
For routing, start with Philadelphia, Pennsylvania for MARKIETRA KEESE, then verify phone and hours locally.
Who maintains MARKIETRA KEESE's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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