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

Q: 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.

Q: What is Jacob Keith's specialty?

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

Q: 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 5 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.

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: August 02, 2026.

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

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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

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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.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

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.

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)