KEREN MARIAM JOHN PA- CERTIFIED
NPI 1285190462
Physician Assistant in New London, CT

Active since February 13, 2019PECOS EnrolledAccepts Medicare Assignment
365 MONTAUK AVE, NEW LONDON, CT 06320(860) 442-0711 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2025, Apr 19, 2024, Sep 11, 2019 and 1 more (4 updates tracked since 2019).

About Keren Mariam John Pa- Certified NPPES

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

KEREN MARIAM JOHN PA- CERTIFIED (NPI 1285190462) is an individual physician assistant in New London, Connecticut, licensed in North Carolina (0010-14522) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285190462
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKEREN MARIAM JOHNCredential: PA- CERTIFIED
Location Address365 MONTAUK AVENew London, CT 06320-4700
Mailing AddressCommunity Health Center, 675 Main StreetMiddletown, CT 06457 · (516) 510-4160
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 13, 2019
Last NPPES UpdateAugust 15, 20254 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
NPI 1285190462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NC · 0010-14522 Licensed in CT · 4523
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
365 MONTAUK AVE, New London, CT 06320

Other Names 1

Former Name (1)Keren Mariam Paul Pa-c

Accepted Insurance

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

Keren Mariam John Pa- Certified 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 ID6305178567
PECOS Enrollment IDI20250312002803
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 06320 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

Registered Nurse (Diabetes Educator)
365 MONTAUK AVE
NEW LONDON, CT 06320
Pharmacist (Pharmacotherapy)
365 MONTAUK AVE
NEW LONDON, CT 06320
Social Worker (Clinical)
365 MONTAUK AVE
NEW LONDON, CT 06320
Family Medicine (Sleep Medicine)
365 MONTAUK AVE
NEW LONDON, CT 06320
Advanced Practice Midwife
365 MONTAUK AVE
NEW LONDON, CT 06320
Emergency Medicine
365 MONTAUK AVE
NEW LONDON, CT 06320
Anesthesiology
365 MONTAUK AVE
NEW LONDON, CT 06320
Psychiatry & Neurology (Psychiatry)
365 MONTAUK AVE
NEW LONDON, CT 06320

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 Keren John's NPI number?

The NPI number for Keren John is 1285190462. It was assigned to this individual provider in the NPPES registry on February 13, 2019. The provider is also known as Keren Mariam Paul Pa-C.

Where is Keren John located?

Keren John practices at 365 Montauk Ave, New London, CT 06320. The listed phone number is (860) 442-0711.

What is Keren John's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Keren John enrolled in Medicare?

Yes. Keren John 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.

What insurance does Keren John accept?

Health plans from Blue Cross and Blue Shield of NC list Keren John as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keren John was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.