KARISSA DEANN KEENAN M.D.
NPI 1316333107
Obstetrics & Gynecology in Boise, ID

Active since April 08, 2015PECOS EnrolledAccepts Medicare Assignment
1072 N LIBERTY ST, STE 100, BOISE, ID 83704(208) 302-1200(208) 302-1255 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2019, Oct 20, 2016 (2 updates tracked since 2016).

About Karissa Deann Keenan M.d. NPPES

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

KARISSA DEANN KEENAN M.D. (NPI 1316333107) is an individual obstetrics & gynecology provider in Boise, Idaho, licensed in Idaho (M-14675) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and is a graduate of University Of Washington School Of Medicine (2015).

NPPES Registry Identity

NPI1316333107
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKARISSA DEANN KEENANCredential: M.D.
Location Address1072 N LIBERTY ST, STE 100Boise, ID 83704
Mailing Address3340 E Goldstone Dr.Meridian, ID 83642 · (208) 302-1200 · Fax (208) 302-1255
Fax(208) 302-1255
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2015
Enumeration DateApril 8, 2015
Last NPPES UpdateJuly 26, 20192 updates tracked since enumeration
NPI 1316333107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in ID · M-14675 Licensed in UT · 10100582-8905 Licensed in UT · 10100582-1205
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1072 N LIBERTY ST, Boise, ID 83704

Other Names 1

Former Name (1)Karissa Hughes

Other Identifiers 2

Other10100582-8905UT · Utah Cs Schedule
Other10100582-1205UT · Utah License

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

Karissa Deann Keenan M.d. 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 ID5698054153
PECOS Enrollment IDI20191001003513
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.

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Neurological Surgery
1072 N LIBERTY ST, SUITE 303
BOISE, ID 83704
Psychiatry & Neurology (Neurology)
1072 N LIBERTY ST, STE 303
BOISE, ID 83704
Obstetrics & Gynecology
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Pediatrics
1072 N LIBERTY ST, SUITE 203
BOISE, ID 83704
Obstetrics & Gynecology
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704
Colon & Rectal Surgery
1072 N LIBERTY ST, SUITE 201
BOISE, ID 83704
Psychiatry & Neurology (Neurology)
1072 N LIBERTY ST, SUITE 303
BOISE, ID 83704
Hospitalist
1072 N LIBERTY ST, SUITE 100
BOISE, ID 83704

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 Karissa Keenan's NPI number?

The NPI number for Karissa Keenan is 1316333107. It was assigned to this individual provider in the NPPES registry on April 8, 2015. The provider is also known as Karissa Hughes.

Where is Karissa Keenan located?

Karissa Keenan practices at 1072 N Liberty St Ste 100, Boise, ID 83704. The listed phone number is (208) 302-1200.

What is Karissa Keenan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Karissa Keenan enrolled in Medicare?

Yes. Karissa Keenan 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 Karissa Keenan accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Karissa Keenan 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.

Is Karissa Keenan affiliated with any hospitals?

According to CMS data, Karissa Keenan is affiliated with Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Karissa Keenan was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.