STEPHANIE KEELING (MSN, RN, CPNP-PC) – Pediatric Nurse Practitioner, NPI 1366057119
Pediatric Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STEPHANIE KEELING (MSN, RN, CPNP-PC)
1204 W MAIN ST
CHARLOTTESVILLE, VA 229032824
Phone: (434) 924-9141
Fax: (434) 924-3300
Type: Location
1223 ROWLAND DR
HERNDON, VA 201702430
Phone: (703) 943-6674
Type: Location
110 Soaring Eagle Dr
Stafford, VA 225563903
Phone: (703) 943-6674
Type: Location
1215 Lee St
Charlottesville, VA 229082824
Phone: (434) 924-0211
Type: Location
110 SOARING EAGLE DR
STAFFORD, VA 225563903
Phone: (703) 943-6674
Type: Location
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone: (434) 295-1000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $72.
Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.
Last reported payment date: 2023-05-17 • Largest payer in this snapshot: Cranial Technologies, Inc ($31).
Total Amount
$72
General + Research + Ownership
Payments
4
Total payment records
General Amount
$72
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cranial Technologies, Inc | $31 |
| Merck Sharp & Dohme LLC | $24 |
| GlaxoSmithKline, LLC. | $17 |
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: 2023-05-04
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20230504002238 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22903)
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