MR. KEITH HART (NP) – Acute Care Nurse Practitioner, NPI 1063065373

MR. KEITH HART (NP) is a healthcare provider. based in Kilmarnock, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 0001252679 (VA). The NPI Number for MR. KEITH HART (NP) is 1063065373

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. KEITH HART (NP)
NPI
1063065373
Phone
(804) 435-7735
Address
95 Harris Rd # Mob1
Enumeration Date
17 July 2019
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8047301481
Graduation Year
2019 (7 years ago)
PAC ID
8921431420
Group Practice PAC ID
6507775293
Professional Enrollment ID
I20200615002064
Address ID
VA232235311RI1510XSTXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for MR. KEITH HART (NP)

  • 95 Harris Rd # Mob1

    Kilmarnock, VA 224823845

    Phone: (804) 435-7735

    Type: Location

  • Monument Avenue, Richmond, Richmond City, Virginia, 23221, United States

    RICHMOND, VA 232211760

    Phone: (804) 307-9561

    Type: Mailing

  • 1, East Marshall Street, Jackson Ward, Richmond, Richmond City, Virginia, 23219, United States

    RICHMOND, VA 232985048

    Phone: (804) 828-8786

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($36).

Total Amount

$74

General + Research + Ownership

Payments

3

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

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: 2020-06-15

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
I20200615002064INurse PractitionerVATBD

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 minutes2116$0
99285Emergency department visit with high level of medical decision making1919$0
99284Emergency department visit with moderate level of medical decision making1717$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 22482)

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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: 6507775293View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)VA
Family PracticeVA
Internal MedicineGA
Family PracticeVA
-VA
Infectious Disease, Internal MedicineOH
-VA
Internal MedicineVA
Family PracticeVA
Internal MedicineVA

Reviews

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Frequently asked questions

What NPI should I save for MR. KEITH HART (NP)?
Save NPI 1063065373 if you need a stable reference for MR. KEITH HART (NP).
Does this profile mean MR. KEITH HART (NP) is currently active?
Yes — MR. KEITH HART (NP) appears active in the national provider directory.
What kind of provider is MR. KEITH HART (NP)?
The page reflects Acute Care Nurse Practitioner for MR. KEITH HART (NP). Clinical services aligned with this taxonomy classification.
What location shows for MR. KEITH HART (NP)?
We surface Kilmarnock, Virginia for MR. KEITH HART (NP) based on available NPPES addresses.
Is MR. KEITH HART (NP) a real provider?
This page reflects official NPPES data for NPI 1063065373. Always confirm identity and privileges with the practice and licensing boards.

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