MARY KATHRYN KEENAN PA-C
NPI 1356613012
Physician Assistant - Medical in Evansdale, IA

Active since January 27, 2012PECOS EnrolledAccepts Medicare Assignment
3701 LAFAYETTE RD, EVANSDALE, IA 50707(319) 274-7060 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Kathryn Keenan Pa-c NPPES

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

MARY KATHRYN KEENAN PA-C (NPI 1356613012) is an individual medical provider in Evansdale, Iowa, licensed in Iowa (002249) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of Southern Illinois University School Of Medicine (2011).

NPPES Registry Identity

NPI1356613012
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARY KATHRYN KEENANCredential: PA-C
Location Address3701 LAFAYETTE RDEvansdale, IA 50707-1129
Mailing Address3701 Lafayette RdEvansdale, IA 50707-1129 · (319) 274-7060
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2011
Enumeration DateJanuary 27, 2012
Last NPPES UpdateJanuary 3, 2017
NPI 1356613012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IA · 002249
3701 LAFAYETTE RD, Evansdale, IA 50707

Other Names 1

Former Name (1)Mary Kathryn Maggert Pa-c

Other Identifiers 3

Medicaid1356613012IA
Medicare PIN71926098IA
OtherP01146291 GRP CC6519IA · Rr Medicare

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

Mary Kathryn Keenan Pa-c 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 ID8426210121
PECOS Enrollment IDI20120425000400
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
144 services74 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
128 services17 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
81 services11 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
69 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
20 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160104
Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims39 services$2.37 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers24 claims24 services$32.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$91.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3701 LAFAYETTE RD
EVANSDALE, IA 50707
Nurse Practitioner
3701 LAFAYETTE RD
EVANSDALE, IA 50707
Nurse Practitioner (Family)
3701 LAFAYETTE RD
EVANSDALE, IA 50707
Nurse Practitioner (Family)
3701 LAFAYETTE RD
EVANSDALE, IA 50707
Physician Assistant
3701 LAFAYETTE RD
EVANSDALE, IA 50707
Family Medicine
3701 LAFAYETTE RD
EVANSDALE, IA 50707
Durable Medical Equipment & Medical Supplies
3701 LAFAYETTE RD
EVANSDALE, IA 50707
Family Medicine
3701 LAFAYETTE RD
EVANSDALE, IA 50707

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 Mary Keenan's NPI number?

The NPI number for Mary Keenan is 1356613012. It was assigned to this individual provider in the NPPES registry on January 27, 2012. The provider is also known as Mary Kathryn Maggert Pa-C.

Where is Mary Keenan located?

Mary Keenan practices at 3701 Lafayette Rd, Evansdale, IA 50707. The listed phone number is (319) 274-7060.

What is Mary Keenan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mary Keenan enrolled in Medicare?

Yes. Mary 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 Mary Keenan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Medica list Mary 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 Mary Keenan affiliated with any hospitals?

According to CMS data, Mary Keenan is affiliated with Trinity Rock Island, Genesis Medical Center-Davenport and Trinity - Bettendorf.

When was this NPI record last updated?

The NPPES record for Mary Keenan was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.