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MR. JACOB BRADLEY KEITH AGACNP
NPI 1285300541
Nurse Practitioner - Acute Care in Phoenix, AZ

Active since August 18, 2021PECOS EnrolledAccepts Medicare Assignment
500 W THOMAS RD STE 500, PHOENIX, AZ 85013(602) 406-4000(602) 406-6498 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2024, May 8, 2024, Aug 18, 2021 (3 updates tracked since 2021).

About Mr. Jacob Bradley Keith Agacnp NPPES

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

MR. JACOB BRADLEY KEITH AGACNP (NPI 1285300541) is an individual acute care provider in Phoenix, Arizona, licensed in Arizona (306974) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1285300541
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. JACOB BRADLEY KEITHCredential: AGACNP
Location Address500 W THOMAS RD STE 500Phoenix, AZ 85013-4220
Mailing Address500 W Thomas Rd Ste 500Phoenix, AZ 85013-4220 · (602) 406-4000 · Fax (602) 406-6498
Phone(602) 406-4000
Fax(602) 406-6498
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 18, 2021
Last NPPES UpdateFebruary 27, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
✔ NPI 1285300541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AZ · 306974
500 W THOMAS RD STE 500, Phoenix, AZ 85013
Open in Google Maps ↗

Other Identifiers 1

Medicaid200810AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

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. Jacob Bradley Keith Agacnp 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 ID1153714084
PECOS Enrollment IDI20240514002662
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 Reassignments

3

Medicare enrollment records show Jacob Keith reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sjhmc Physician Services
Same address
Multi-Specialty
350 W THOMAS RD
Phoenix, AZ 85013
  • Reassigned Medicare billing, Arizona enrollment
  • 773 clinicians in this Medicare group
NPI 1326098005 (602) 406-3729
The Queens Medical Center
2,902 mi
Urgent Care
377 KEAHOLE ST STE E108E109
Honolulu, HI 96825
  • Reassigned Medicare billing, Hawaii enrollment
  • 809 clinicians in this Medicare group
NPI 1528691383 (808) 735-0007
Queens University Medical Group
2,910 mi
Multi-Specialty
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 859 clinicians in this Medicare group
NPI 1891441382 (808) 691-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85013 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

DR. SWAMINATHAN PERINKULAM SATHYANARAYANAN MD
Internal Medicine (Pulmonary Disease)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Maricopa County (602) 406-4000
DR. HEATHER NICOLE AKYEA BOAKYE-WENZEL MD
Internal Medicine (Critical Care Medicine)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Maricopa County (602) 406-4000
MICHAEL ANTHONY SMITH MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Maricopa County (602) 406-4000
MR. JOHN J MCSWEENEY ANP
Nurse Practitioner (Adult Health)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Maricopa County (602) 406-9692
MICHAEL DOMINICK DIODATO JR. MD
Surgery (Surgical Critical Care)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Maricopa County (602) 406-4000
AMANDA MICHELLE FIELD FNP
Nurse Practitioner (Family)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Maricopa County (602) 406-4000
TIFFANY AMBER ROGERS FNP-C
Nurse Practitioner (Family)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Maricopa County (602) 406-4000
DR. KEVIN M BRADY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W THOMAS RD STE 500
PHOENIX, AZ 85013
Maricopa County (602) 406-4000

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 Jacob Keith's NPI number?

The NPI number for Jacob Keith is 1285300541. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Jacob Keith located?

Jacob Keith practices at 500 W Thomas Rd Ste 500, Phoenix, AZ 85013. The listed phone number is (602) 406-4000.

What is Jacob Keith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jacob Keith enrolled in Medicare?

Yes. Jacob Keith 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 organizations bill Medicare for Jacob Keith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Keith reassigns Medicare benefits to 3 organizations: Sjhmc Physician Services (Phoenix, AZ), The Queens Medical Center (Honolulu, HI) and Queens University Medical Group (Honolulu, HI). Each 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 Jacob Keith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Keith accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Jacob Keith 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 Jacob Keith was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.