MARY C KEANE APN-CNP
NPI 1043551807
Nurse Practitioner in Saint Louis, MO
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
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Mary Keane reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sandwich, IL 60548
- Reassigned Medicare billing, Illinois enrollment
- 561 clinicians in this Medicare group
Naperville, IL 60540
- Reassigned Medicare billing, Illinois enrollment
- 268 clinicians in this Medicare group
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 4,841 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, ILPhysician 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.
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.
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.
SAINT LOUIS, MO 63117
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.
Which organizations bill Medicare for Mary Keane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Keane reassigns Medicare benefits to 3 organizations: Edward Health Ventures (Sandwich, IL), Edward Hospital (Naperville, IL) and Endeavor Health Medical Group (Evanston, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Keane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Mary C Keane, APN-CNP · NPI 1043551807
Nurse Practitioner physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since March 4, 2013.
## Identity
- **NPI:** 1043551807 (Entity type: Individual)
- **Enumerated:** March 4, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 277001322 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1031 BELLEVUE AVE, SUITE 300, Saint Louis, MO 63117-1818
- **Phone:** (314) 647-9444 · **Fax:** (314) 647-7317
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Edward Health Ventures (NPI 1316183551, Sandwich, IL); Edward Hospital (NPI 1013969013, Naperville, IL); Endeavor Health Medical Group (NPI 1497701882, Evanston, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** April 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043551807) · Data from the CMS NPPES public registry.