MR. RYAN KEOGH (PMHNP-BC) – Mental Health Counselor, NPI 1154664670
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. RYAN KEOGH (PMHNP-BC)
2013 MICCOSUKEE RD
TALLAHASSEE, FL 323085307
Phone: (407) 873-6462
Type: Mailing
125 Hartwell Ave
Lexington, MA 024213100
Phone: (781) 861-0890
Type: Location
55 FRUIT ST
BOSTON, MA 021142696
Phone: (617) 724-9144
Type: Mailing
125 HARTWELL AVE
LEXINGTON, MA 024213100
Phone: (781) 861-0890
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: 2023-03-17
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 |
|---|---|---|---|---|
| I20230317000134 | I | Nurse Practitioner | MA | 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 | 55 | 27 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 38 | 20 | $0 |
Insurance plans in this area (ZIP 32308)
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