MARY C KEANE APN-CNP
NPI 1043551807
Nurse Practitioner in Saint Louis, MO

Active since March 04, 2013PECOS EnrolledAccepts Medicare Assignment
91.35/100
CMS Quality Rating
1031 BELLEVUE AVE, SUITE 300, SAINT LOUIS, MO 63117(314) 647-9444(314) 647-7317 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary C Keane Apn-cnp NPPES

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

MARY C KEANE APN-CNP (NPI 1043551807) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Illinois (277001322) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043551807
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY C KEANECredential: APN-CNP
Location Address1031 BELLEVUE AVE, SUITE 300Saint Louis, MO 63117-1818
Mailing AddressPo Box 23340Saint Louis, MO 63156-3340 · (314) 647-9444 · Fax (314) 647-7317
Fax(314) 647-7317
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 4, 2013
Last NPPES UpdateApril 9, 2026
NPPES CertifiedApril 9, 2026
NPI 1043551807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 277001322
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 2006021094 (MO)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2013000128 (MO)
1031 BELLEVUE AVE, Saint Louis, MO 63117

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

Mary C Keane Apn-cnp 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 ID9739325887
PECOS Enrollment IDI20150501001636
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
38 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

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.

Surgery (Vascular Surgery)
1031 BELLEVUE AVE, SUITE 349
SAINT LOUIS, MO 63117
Physician Assistant
1031 BELLEVUE AVE, SUITE 300
SAINT LOUIS, MO 63117
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1031 BELLEVUE AVE
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1031 BELLEVUE AVE
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1031 BELLEVUE AVE, SUITE 400
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1031 BELLEVUE AVE, SUITE 400
SAINT LOUIS, MO 63117
Neurological Surgery
1031 BELLEVUE AVE, SUITE 300
SAINT LOUIS, MO 63117
Clinic/Center
1031 BELLEVUE AVE, SUITE 300
SAINT LOUIS, MO 63117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Keane's NPI number?

The NPI number for Mary Keane is 1043551807. It was assigned to this individual provider in the NPPES registry on March 4, 2013.

Where is Mary Keane located?

Mary Keane practices at 1031 Bellevue Ave Suite 300, Saint Louis, MO 63117. The listed phone number is (314) 647-9444.

What is Mary Keane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Keane enrolled in Medicare?

Yes. Mary Keane is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mary Keane affiliated with any hospitals?

According to CMS data, Mary Keane is affiliated with Edward Hospital.

When was this NPI record last updated?

The NPPES record for Mary Keane was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.