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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. KEEGAN C MAIN PMHNP
NPI 1225978588
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI

Active since March 30, 2026PECOS EnrolledAccepts Medicare Assignment
1075 SMITH ST STE 2, PROVIDENCE, RI 02908(401) 369-9224(401) 369-9275 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 5, 2026, Aug 19, 2026, Jul 29, 2026 and 1 more (4 updates tracked since 2026).

About Mr. Keegan C Main Pmhnp NPPES

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

MR. KEEGAN C MAIN PMHNP (NPI 1225978588) is an individual psychiatric/mental health provider in Providence, Rhode Island, licensed in Rhode Island (APRN05322) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1225978588
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. KEEGAN C MAINCredential: PMHNP
Location Address1075 SMITH ST STE 2Providence, RI 02908-2700
Mailing Address1075 Smith St Ste 2Providence, RI 02908-2700
Phone(401) 369-9224
Fax(401) 369-9275
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 30, 2026
Last NPPES UpdateOctober 5, 20264 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1225978588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in RI · APRN05322✔ Licensed in RI · RN65323
1075 SMITH ST STE 2, Providence, RI 02908
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1361 Tomaquag RdAshaway, RI 02804-2912 · Phone (401) 440-5528
Location 217 Adelphi AveProvidence, RI 02906-4119 · Phone (718) 506-1115
Location 3398 Bellevue AveNewport, RI 02840-6955 · Phone (718) 506-1115

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

Mr. Keegan C Main Pmhnp 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 ID8224597414
PECOS Enrollment IDI20260827004146
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.

Medicare Billing Reassignment

Medicare enrollment records show Keegan Main reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Supportive Care I Of Rhode Island PC
3.1 mi
Clinical
17 ADELPHI AVE
Providence, RI 02906
  • Reassigned Medicare billing, Rhode Island enrollment
  • 95 clinicians in this Medicare group
NPI 1912666454 (718) 298-4375

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 02908 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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 11

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

MRS. KATHRYN EMILY FREDETTE PMHNP
Student in an Organized Health Care Education/Training Program
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Providence County (401) 369-9224
OLIVIA FOOTER APRN
Nurse Practitioner (Psychiatric/Mental Health)
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Providence County (401) 369-9224
LORRAINE RUOCCO PSYD
Psychologist
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Providence County (781) 619-1500
MARIANELA DOUGAL LICSW
Social Worker (Clinical)
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Providence County (401) 369-9224
KAYLA ELIZABETH SALL PHD
Psychologist (Clinical)
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Providence County (401) 369-9224
JOANNA L WINTERBOTTOM LICSW
Social Worker
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Providence County (401) 369-9224
DONNA MARIE MCDONALD APRN
Nurse Practitioner (Psychiatric/Mental Health)
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Providence County (401) 369-9224
ASHLEY YO ANN FIGUEROA RIVAS PSYD
Psychologist (Clinical)
1075 SMITH ST STE 2
PROVIDENCE, RI 02908
Providence County (401) 369-9224

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 Keegan Main's NPI number?

The NPI number for Keegan Main is 1225978588. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Keegan Main located?

Keegan Main practices at 1075 Smith St Ste 2, Providence, RI 02908. The listed phone number is (401) 369-9224.

What is Keegan Main's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Keegan Main enrolled in Medicare?

Yes. Keegan Main 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 organization bills Medicare for Keegan Main's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keegan Main reassigns Medicare benefits to Supportive Care I Of Rhode Island PC (Providence, RI). The 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 Keegan Main'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 Keegan Main was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.