AMANDA MICHELE KEENHOLD DNP, PMHNP
NPI 1013248699
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Q: What is Amanda Keenhold's NPI number?

The NPI number for Amanda Keenhold is 1013248699. It was assigned to this individual provider in the NPPES registry on January 21, 2010. The provider is also known as Amanda M Boehmer R.N.

Q: What is Amanda Keenhold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Keenhold was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 21, 2010PECOS EnrolledAccepts Medicare Assignment

2204 S DOBSON RD STE 102, MESA, AZ 85202(602) 230-7373(480) 628-8577 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amanda Michele Keenhold Dnp, Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MICHELE KEENHOLD DNP, PMHNP (NPI 1013248699) is an individual psychiatric/mental health provider in Mesa, Arizona, licensed in Arizona (272626) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013248699

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameAMANDA MICHELE KEENHOLDCredential: DNP, PMHNP

Location Address2204 S DOBSON RD STE 102Mesa, AZ 85202-6457

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373

Phone(602) 230-7373

Fax(480) 628-8577

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 21, 2010

Last NPPES UpdateDecember 13, 2023

NPPES CertifiedDecember 13, 2023

✔ NPI 1013248699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · 272626

Also ListedRegistered NurseTaxonomy 163W00000X · License RN187348 (AZ)

2204 S DOBSON RD STE 102, Mesa, AZ 85202

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Other Names 1

Former Name (1)Amanda M Boehmer R.n

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Michele Keenhold Dnp, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587032149

PECOS Enrollment IDI20221201002808

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC FELBER M.A., LPC

Counselor (Professional)