TARA KEITH – Gerontology Nurse Practitioner, NPI 1407396542
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for TARA KEITH
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone:
Type: Mailing
1900 Electric Rd
Salem, VA 241537474
Phone: (540) 776-4000
Type: Location
2001 Crystal Spring Ave SW
Roanoke, VA 240142462
Phone: (540) 981-7000
Type: Location
LewisGale Medical Center, 1900, Electric Road, Ridgewood Farm, Salem, Salem (city), Virginia, 24153, United States
SALEM, VA 241537474
Phone:
Type: Mailing
3 RIVERSIDE CIR
ROANOKE, VA 240164955
Phone: (540) 224-5170
Type: Location
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 240142462
Phone: (540) 981-7000
Type: Location
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: 2017-08-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170818001264 | I | Nurse Practitioner | VA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 156 | 81 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 37 | 35 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 24011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Cardiovascular Disease (Cardiology) | VA | |
| G A S T R O E N T E R O L O G Y | NY | |
| - | MI | |
| - | VA | |
| - | VA | |
| - | VA | |
| General Surgery | VA | |
| - | VA |
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