AUDREY ELIZABETH KEEN (PA-C) – Physician Assistant, NPI 1417252974

AUDREY ELIZABETH KEEN (PA-C) is a healthcare provider. based in Burke, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0010-005839 (VA). The NPI Number for AUDREY ELIZABETH KEEN (PA-C) is 1417252974

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
AUDREY ELIZABETH KEEN (PA-C)
NPI
1417252974
Phone
(571) 317-5196
Address
5843 NEW ENGLAND WOODS DR
Enumeration Date
13 January 2011
Last Update Date
3 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7036425990
Graduation Year
2010 (16 years ago)
PAC ID
2264610237
Group Practice PAC ID
0648262261
Professional Enrollment ID
I20170918000188
Address ID
VA221514027SP5510XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

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

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: 2017-09-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170918000188IPhysician AssistantDCTBD

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 minutes340224$0
99213Established patient office or other outpatient visit, 20-29 minutes337240$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count205156$0
80048Blood test, basic group of blood chemicals (calcium, total)204154$0
80076Liver function blood test panel174139$0
View full utilization report →

Insurance plans in this area (ZIP 22015)

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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: 0648262261View full group profile
NameSpecialtyState
Physician AssistantVA
G A S T R O E N T E R O L O G YVA
Physician AssistantVA
-DC
Internal MedicineVA
-VA
Physician AssistantVA
Internal MedicineVA
Physician AssistantVA
G A S T R O E N T E R O L O G YVA

Reviews

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Frequently asked questions

Can I verify AUDREY ELIZABETH KEEN (PA-C) with an NPI only?
You can start verification with NPI 1417252974 for AUDREY ELIZABETH KEEN (PA-C), then check state licensing separately.
Is AUDREY ELIZABETH KEEN (PA-C) still practicing?
AUDREY ELIZABETH KEEN (PA-C) is currently listed as active in the public NPI registry.
What is AUDREY ELIZABETH KEEN (PA-C)'s specialty?
The listing groups AUDREY ELIZABETH KEEN (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does AUDREY ELIZABETH KEEN (PA-C) serve?
AUDREY ELIZABETH KEEN (PA-C)'s listing highlights Burke, Virginia; more addresses can appear in NPPES.
Is the information about AUDREY ELIZABETH KEEN (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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