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OLIVIA RAFFAELLA-ANNA KEENAN P.A.-C
NPI 1275189334
Physician Assistant - Medical in Woodhaven, MI

Active since August 14, 2019PECOS EnrolledAccepts Medicare Assignment
21401 ALLEN RD, WOODHAVEN, MI 48183(734) 675-0835(734) 675-0873 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olivia Raffaella-anna Keenan P.a.-c NPPES

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

OLIVIA RAFFAELLA-ANNA KEENAN P.A.-C (NPI 1275189334) is an individual medical provider in Woodhaven, Michigan, licensed in Michigan (5601009409) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275189334
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameOLIVIA RAFFAELLA-ANNA KEENANCredential: P.A.-C
Location Address21401 ALLEN RDWoodhaven, MI 48183-1665
Mailing Address21401 Allen RdWoodhaven, MI 48183-1665 · (734) 675-0835 · Fax (734) 675-0873
Phone(734) 675-0835
Fax(734) 675-0873
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 14, 2019
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1275189334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601009409
Also ListedDermatologyTaxonomy 207N00000X · License 5601009409 (MI)
21401 ALLEN RD, Woodhaven, MI 48183
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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

Olivia Raffaella-anna Keenan P.a.-c 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 ID2769806587
PECOS Enrollment IDI20201007002604
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
17 services17 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
12 services12 patients

Other Providers at the Same Location NPPES 4

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

MR. SAMI ADNAN ABBASI DO
Dermatology
21401 ALLEN RD
WOODHAVEN, MI 48183
Wayne County (734) 675-0835
HALEY FOLLBAUM
Physician Assistant
21401 ALLEN RD
WOODHAVEN, MI 48183
Wayne County (734) 675-0835
LESLIE A NICHOLS PA
Physician Assistant (Surgical)
21401 ALLEN RD
WOODHAVEN, MI 48183
Wayne County (734) 675-0835
LAUREN MARIE BULLARD PA-C
Physician Assistant (Medical)
21401 ALLEN RD
WOODHAVEN, MI 48183
Wayne County (734) 675-0835

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 Olivia Keenan's NPI number?

The NPI number for Olivia Keenan is 1275189334. It was assigned to this individual provider in the NPPES registry on August 14, 2019.

Where is Olivia Keenan located?

Olivia Keenan practices at 21401 Allen Rd, Woodhaven, MI 48183. The listed phone number is (734) 675-0835.

What is Olivia Keenan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Olivia Keenan enrolled in Medicare?

Yes. Olivia Keenan 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 Olivia Keenan was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.