KEENAN L HACKER DO
NPI 1295470623
Emergency Medicine in Muskegon, MI

Active since April 29, 2022PECOS EnrolledAccepts Medicare Assignment
1675 LEAHY ST STE 201, MUSKEGON, MI 49442(231) 672-8289 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2025, Apr 29, 2022 (2 updates tracked since 2022).

About Keenan L Hacker Do NPPES

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

KEENAN L HACKER DO (NPI 1295470623) is an individual emergency medicine provider in Muskegon, Michigan, licensed in Michigan (5101027749) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Lakeshore Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295470623
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKEENAN L HACKERCredential: DO
Location Address1675 LEAHY ST STE 201Muskegon, MI 49442-5542
Mailing Address1675 Leahy St Ste 201Muskegon, MI 49442-5542
Sole ProprietorNo
Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2022
Enumeration DateApril 29, 2022
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
NPI 1295470623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 5101027749
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1675 LEAHY ST STE 201, Muskegon, MI 49442

Secondary Practice Locations 2

Location 1905 E Colby StWhitehall, MI 49461-1262 · Phone (231) 672-8050 · Fax (231) 672-8048
Location 25656 W US Highway 10Ludington, MI 49431-2454 · Phone (231) 843-2543 · Fax (231) 843-2547

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

Keenan L Hacker Do 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 ID6608398698
PECOS Enrollment IDI20250319002628
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Lakeshore Campus

Critical Access Hospitals · Shelby, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231320
Location72 South State StreetShelby, MI 49455 · Oceana County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49442 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Student in an Organized Health Care Education/Training Program
1675 LEAHY ST STE 201
MUSKEGON, MI 49442
Student in an Organized Health Care Education/Training Program
1675 LEAHY ST STE 201
MUSKEGON, MI 49442
Student in an Organized Health Care Education/Training Program
1675 LEAHY ST STE 201
MUSKEGON, MI 49442
Student in an Organized Health Care Education/Training Program
1675 LEAHY ST STE 201
MUSKEGON, MI 49442
Student in an Organized Health Care Education/Training Program
1675 LEAHY ST STE 201
MUSKEGON, MI 49442
Obstetrics & Gynecology
1675 LEAHY ST STE 201
MUSKEGON, MI 49442
Student in an Organized Health Care Education/Training Program
1675 LEAHY ST STE 201
MUSKEGON, MI 49442
Emergency Medicine
1675 LEAHY ST STE 201
MUSKEGON, MI 49442

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 Keenan Hacker's NPI number?

The NPI number for Keenan Hacker is 1295470623. It was assigned to this individual provider in the NPPES registry on April 29, 2022.

Where is Keenan Hacker located?

Keenan Hacker practices at 1675 Leahy St Ste 201, Muskegon, MI 49442. The listed phone number is (231) 672-8289.

What is Keenan Hacker's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Keenan Hacker enrolled in Medicare?

Yes. Keenan Hacker 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.

Is Keenan Hacker affiliated with any hospitals?

According to CMS data, Keenan Hacker is affiliated with Mercy Health Lakeshore Campus.

When was this NPI record last updated?

The NPPES record for Keenan Hacker was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.