MICHAELA ANTOINETTE KEAN APRN
NPI 1275264350
Nurse Practitioner - Family in Valdosta, GA

Active since June 21, 2022PECOS Enrolled
804 NORTHWOOD PARK DR, VALDOSTA, GA 31602(229) 249-7888(229) 241-7810 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michaela Antoinette Kean Aprn NPPES

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

MICHAELA ANTOINETTE KEAN APRN (NPI 1275264350) is an individual family provider in Valdosta, Georgia, licensed in Georgia (RN213021) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1275264350
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAELA ANTOINETTE KEANCredential: APRN
Location Address804 NORTHWOOD PARK DRValdosta, GA 31602-1392
Mailing AddressPo Box 3225Valdosta, GA 31604-3225 · (229) 249-7888 · Fax (229) 241-7810
Fax(229) 241-7810
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 21, 2022
NPPES CertifiedJune 9, 2022
NPI 1275264350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN213021
804 NORTHWOOD PARK DR, Valdosta, GA 31602

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michaela Antoinette Kean Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012391873
PECOS Enrollment IDI20220829002918
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services33 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
24 services24 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services20 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
11 services11 patients
New patient office or other outpatient visit, 30-44 minutes 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31602 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 2

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

Family Medicine
804 NORTHWOOD PARK DR
VALDOSTA, GA 31602
Physician Assistant
804 NORTHWOOD PARK DR
VALDOSTA, GA 31602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275264350, enumerated as an "individual" on June 21, 2022.

The provider is located at 804 NORTHWOOD PARK DR VALDOSTA, GA 31602 and the phone number is (229) 249-7888.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.