TARA S. KEEN NP-FAMILY
NPI 1316573611
Nurse Practitioner - Family in Lake City, FL

Q: What is Tara Keen's NPI number?

The NPI number for Tara Keen is 1316573611. It was assigned to this individual provider in the NPPES registry on March 18, 2020.

Q: What is Tara Keen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Keen was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 18, 2020PECOS Enrolled

619 S MARION AVE, LAKE CITY, FL 32025(386) 755-3016 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 22, 2022, Sep 10, 2020, Mar 18, 2020 (3 updates tracked since 2020).

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About Tara S. Keen Np-family NPPES

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

TARA S. KEEN NP-FAMILY (NPI 1316573611) is an individual family provider in Lake City, Florida, licensed in Florida (11005780) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake City.

NPPES Registry Identity

NPI1316573611

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA S. KEENCredential: NP-FAMILY

Location Address619 S MARION AVELake City, FL 32025-5808

Mailing Address1536 N Jefferson StJacksonville, FL 32209-6525 · (386) 755-3016

Phone(386) 755-3016

Sole ProprietorNo

Enumeration DateMarch 18, 2020

Last NPPES UpdateFebruary 22, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2022

✔ NPI 1316573611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11005780

619 S MARION AVE, Lake City, FL 32025

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Secondary Practice Location 1

Location 1173 NW Albritton LnLake City, FL 32055-4451 · Phone (386) 755-4020 · Fax (386) 752-9143

Other Identifiers 1

Other11005780FL · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tara S. Keen Np-family is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32025 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

MRS. SHARON LYNEAR HAYES RN

Registered Nurse (Continuing Education/Staff Development)