1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Nurse Practitioner
  6. NPI Profile

KATHLEEN KEENAN NP
NPI 1184784050
Nurse Practitioner in Boston, MA

Active since December 11, 2006PECOS Enrolled
55 FRUIT STREET VBK 3, BOSTON, MA 02114(617) 726-5544 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen Keenan Np NPPES

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

KATHLEEN KEENAN NP (NPI 1184784050) is an individual nurse practitioner in Boston, Massachusetts, licensed in Massachusetts (119680) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184784050
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN KEENANCredential: NP
Location Address55 FRUIT STREET VBK 3Boston, MA 02114-2696
Mailing AddressPo Box 9142, Mass General Physicians Organization IncCharlestown, MA 02129-9142 · (617) 724-0287 · Fax (617) 726-2894
Phone(617) 726-5544
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184784050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 119680
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.

55 FRUIT STREET VBK 3, Boston, MA 02114
Open in Google Maps ↗

Other Identifiers 3

Medicaid0700801MA
Medicare ID-Type UnspecifiedNP4777MA
Medicare UPINQ26463

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Keenan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Kathleen Keenan's NPI number?

The NPI number for Kathleen Keenan is 1184784050. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Kathleen Keenan located?

Kathleen Keenan practices at 55 Fruit Street Vbk 3, Boston, MA 02114. The listed phone number is (617) 726-5544.

What is Kathleen Keenan's specialty?

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

Is Kathleen Keenan enrolled in Medicare?

Yes. Kathleen Keenan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Keenan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.