BRENNA KEOGH APRN
NPI 1114717030
Nurse Practitioner - Family in Meriden, CT

Active since May 12, 2025PECOS EnrolledAccepts Medicare Assignment
134 STATE ST, MERIDEN, CT 06450(203) 237-2229(203) 686-1677 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2025, May 12, 2025 (2 updates tracked since 2025).

About Brenna Keogh Aprn NPPES

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

BRENNA KEOGH APRN (NPI 1114717030) is an individual family provider in Meriden, Connecticut, licensed in Connecticut (14874) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114717030
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRENNA KEOGHCredential: APRN
Location Address134 STATE STMeriden, CT 06450-3293
Mailing Address19 Grand StMiddletown, CT 06457-2705 · (860) 347-6971 · Fax (860) 343-7379
Fax(203) 686-1677
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 12, 2025
Last NPPES UpdateJune 13, 20252 updates tracked since enumeration
NPPES CertifiedJune 13, 2025
NPI 1114717030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CT · 14874
134 STATE ST, Meriden, CT 06450

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

Brenna Keogh Aprn 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 ID3476068735
PECOS Enrollment IDI20250715003165
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 06450 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

Social Worker (Clinical)
134 STATE ST
MERIDEN, CT 06450
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
134 STATE ST, WALGREENS PHARMACY
MERIDEN, CT 06450
Counselor (Mental Health)
134 STATE ST
MERIDEN, CT 06450
Registered Nurse
134 STATE ST
MERIDEN, CT 06450
Pharmacist
134 STATE ST
MERIDEN, CT 06450
Nurse Practitioner (Family)
134 STATE ST
MERIDEN, CT 06450
Registered Nurse
134 STATE ST
MERIDEN, CT 06450
Nurse Practitioner (Psychiatric/Mental Health)
134 STATE ST
MERIDEN, CT 06450

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 Brenna Keogh's NPI number?

The NPI number for Brenna Keogh is 1114717030. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Brenna Keogh located?

Brenna Keogh practices at 134 State St, Meriden, CT 06450. The listed phone number is (203) 237-2229.

What is Brenna Keogh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brenna Keogh enrolled in Medicare?

Yes. Brenna Keogh 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 Brenna Keogh was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.