Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TANIKA JANAE KEAGLE AGPCNP
NPI 1265249916
Nurse Practitioner - Gerontology in Norfolk, VA

Active since December 16, 2024PECOS Enrolled
721 FAIRFAX AVE, NORFOLK, VA 23507(757) 446-7040(757) 446-7049 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2026, Dec 16, 2024 (2 updates tracked since 2024).

About Tanika Janae Keagle Agpcnp NPPES

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

TANIKA JANAE KEAGLE AGPCNP (NPI 1265249916) is an individual gerontology provider in Norfolk, Virginia, licensed in Virginia (0024191131) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265249916
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTANIKA JANAE KEAGLECredential: AGPCNP
Location Address721 FAIRFAX AVENorfolk, VA 23507-2007
Mailing Address721 Fairfax Ave Fl 4Norfolk, VA 23507-2007 · (757) 446-7040 · Fax (757) 446-7049
Fax(757) 446-7049
Sole ProprietorYes
Enumeration DateDecember 16, 2024
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
NPI 1265249916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in VA · 0024191131
721 FAIRFAX AVE, Norfolk, VA 23507

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tanika Janae Keagle Agpcnp 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 23507 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Psychologist (Clinical)
721 FAIRFAX AVE, 3RD FLOOR
NORFOLK, VA 23507
Internal Medicine
721 FAIRFAX AVE
NORFOLK, VA 23507
Dermatology
721 FAIRFAX AVE, SUITE 200
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
721 FAIRFAX AVE
NORFOLK, VA 23507
Physical Medicine & Rehabilitation
721 FAIRFAX AVE, 3RD FLOOR
NORFOLK, VA 23507
Physician Assistant
721 FAIRFAX AVE, SUITE 200
NORFOLK, VA 23507
Pharmacist (Pharmacotherapy)
721 FAIRFAX AVE
NORFOLK, VA 23507
Student in an Organized Health Care Education/Training Program
721 FAIRFAX AVE
NORFOLK, VA 23507

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 Tanika Keagle's NPI number?

The NPI number for Tanika Keagle is 1265249916. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Tanika Keagle located?

Tanika Keagle practices at 721 Fairfax Ave, Norfolk, VA 23507. The listed phone number is (757) 446-7040.

What is Tanika Keagle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Tanika Keagle enrolled in Medicare?

Yes. Tanika Keagle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tanika Keagle was last updated on July 6, 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.