MS. JENNIFER LYNN KEATHLEY MMS,PA-C
NPI 1073848248
Physician Assistant - Surgical in Phoenix, AZ

Active since October 06, 2009PECOS EnrolledAccepts Medicare Assignment
1635 E MYRTLE AVE, STE 400, PHOENIX, AZ 85020(602) 944-2900(602) 944-0064 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Jennifer Lynn Keathley Mms,pa-c NPPES

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

MS. JENNIFER LYNN KEATHLEY MMS,PA-C (NPI 1073848248) is an individual surgical provider in Phoenix, Arizona, licensed in Arizona (4511) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1073848248
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. JENNIFER LYNN KEATHLEYCredential: MMS,PA-C
Location Address1635 E MYRTLE AVE, STE 400Phoenix, AZ 85020-5556
Mailing Address1635 E Myrtle Ave, Ste 400Phoenix, AZ 85020-5556 · (602) 944-2900 · Fax (602) 944-0064
Fax(602) 944-0064
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 6, 2009
Last NPPES UpdateMay 4, 2022
NPPES CertifiedMay 4, 2022
NPI 1073848248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AZ · 4511
1635 E MYRTLE AVE, Phoenix, AZ 85020

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

Ms. Jennifer Lynn Keathley Mms,pa-c 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 ID8527102995
PECOS Enrollment IDI20100223000609
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 12

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.

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
55 services36 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
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.
28 services28 patients
Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc 63030
This procedure involves partially removing a spine bone, which may help to alleviate pressure on the lower spinal cord or nerves. It can also include disc removal. This can reduce pain and improve mobility. It's a common treatment for certain back conditions.
27 services27 patients
Fusion of spine in lower back with partial removal of spine bone and disc 22633
This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.
24 services24 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.
24 services24 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier12 claims12 services$69.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Physician Assistant (Surgical)
1635 E MYRTLE AVE, STE 400
PHOENIX, AZ 85020
Clinic/Center (Recovery Care)
1635 E MYRTLE AVE, STE 200
PHOENIX, AZ 85020
Physician Assistant (Surgical)
1635 E MYRTLE AVE, STE 400
PHOENIX, AZ 85020
Physician Assistant
1635 E MYRTLE AVE
PHOENIX, AZ 85020
Physician Assistant (Surgical)
1635 E MYRTLE AVE
PHOENIX, AZ 85020
Physician Assistant (Surgical)
1635 E MYRTLE AVE
PHOENIX, AZ 85020
Specialist/Technologist, Other (Electroneurodiagnostic)
1635 E MYRTLE AVE, SUITE 400
PHOENIX, AZ 85020
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1635 E MYRTLE AVE, STE 400
PHOENIX, AZ 85020

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 Jennifer Keathley's NPI number?

The NPI number for Jennifer Keathley is 1073848248. It was assigned to this individual provider in the NPPES registry on October 6, 2009.

Where is Jennifer Keathley located?

Jennifer Keathley practices at 1635 E Myrtle Ave Ste 400, Phoenix, AZ 85020. The listed phone number is (602) 944-2900.

What is Jennifer Keathley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jennifer Keathley enrolled in Medicare?

Yes. Jennifer Keathley 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.

When was this NPI record last updated?

The NPPES record for Jennifer Keathley was last updated on May 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.