KELSEY SHAWN KEANE
NPI 1174017131
Social Worker - Clinical in Oakland, CA
About Kelsey Shawn Keane NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELSEY SHAWN KEANE (NPI 1174017131) is an individual clinical provider in Oakland, California, licensed in California (103044) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelsey Shawn Keane is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Kelsey Keane reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 2,112 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 1,159 clinicians in this Medicare group
San Jose, CA 95123
- Reassigned Medicare billing, California enrollment
- 3 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94609 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
OAKLAND, CA 94609
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 Kelsey Keane's NPI number?
The NPI number for Kelsey Keane is 1174017131. It was assigned to this individual provider in the NPPES registry on June 21, 2018.
Where is Kelsey Keane located?
Kelsey Keane practices at 770 53rd St, Oakland, CA 94609. The listed phone number is (510) 428-8428.
What is Kelsey Keane's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kelsey Keane enrolled in Medicare?
Yes. Kelsey Keane is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelsey Keane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Keane reassigns Medicare benefits to 5 organizations: Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA), Ucsf Pediatrics Associates (San Francisco, CA) and Spread Your Wings For Mental Health Inc (San Jose, CA). 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 Kelsey Keane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelsey Keane was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kelsey Shawn Keane · NPI 1174017131
Clinical provider in Oakland, California. Individual provider, active in the CMS NPPES registry since June 21, 2018.
## Identity
- **NPI:** 1174017131 (Entity type: Individual)
- **Enumerated:** June 21, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 103044 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 770 53RD ST, Oakland, CA 94609-1814
- **Phone:** (510) 428-8428
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of California (NPI 1235322348, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA); Ucsf Pediatrics Associates (NPI 1376614016, San Francisco, CA); Spread Your Wings For Mental Health Inc (NPI 1760969539, San Jose, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174017131) · Data from the CMS NPPES public registry.