AUDREY ELIZABETH KEEN (PA-C) – Physician Assistant, NPI 1417252974
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,429 PHYSICIAN ASSISTANT in VA
Provider Addresses for AUDREY ELIZABETH KEEN (PA-C)
5843 NEW ENGLAND WOODS DR
BURKE, VA 220152963
Phone: (571) 317-5196
Type: Mailing
5510 ALMA LN
SPRINGFIELD, VA 221514027
Phone: (703) 642-5990
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 83 Open Payments records for all available years, with a total value of $1,550.
Total Amount is formed as General ($1,550) + Research ($0) + Ownership ($0) = $1,550.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($500).
Total Amount
$1,550
General + Research + Ownership
Payments
83
Total payment records
General Amount
$1,550
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $500 |
| ABBVIE INC. | $408 |
| PFIZER INC. | $208 |
| Amneal Pharmaceuticals LLC | $76 |
| Amgen Inc. | $74 |
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: 2017-09-18
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 |
|---|---|---|---|---|
| I20170918000188 | I | Physician Assistant | DC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 340 | 224 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 337 | 240 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 205 | 156 | $0 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 204 | 154 | $0 |
| 80076 | Liver function blood test panel | 174 | 139 | $0 |
Insurance plans in this area (ZIP 22015)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | VA | |
| G A S T R O E N T E R O L O G Y | VA | |
| Physician Assistant | VA | |
| - | DC | |
| Internal Medicine | VA | |
| - | VA | |
| Physician Assistant | VA | |
| Internal Medicine | VA | |
| Physician Assistant | VA | |
| G A S T R O E N T E R O L O G Y | VA |
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