MELLIE FAY KEENE NP
NPI 1396865770
Nurse Practitioner - Family in Atascadero, CA
About Mellie Fay Keene Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELLIE FAY KEENE NP (NPI 1396865770) is an individual family provider in Atascadero, California, licensed in California (95000496) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mellie Fay Keene Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Mellie Keene reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atascadero, CA 93422
- Reassigned Medicare billing, California enrollment
- 755 clinicians in this Medicare group
Atascadero, CA 93422
- Reassigned Medicare billing, California enrollment
- 213 clinicians in this Medicare group
San Luis Obispo, CA 93405
- Reassigned Medicare billing, California enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93422 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
ATASCADERO, CA 93422
ATASCADERO, CA 93422
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 Mellie Keene's NPI number?
The NPI number for Mellie Keene is 1396865770. It was assigned to this individual provider in the NPPES registry on March 30, 2007.
Where is Mellie Keene located?
Mellie Keene practices at 10333 El Camino Real, Atascadero, CA 93422. The listed phone number is (805) 468-2188.
What is Mellie Keene's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mellie Keene enrolled in Medicare?
Yes. Mellie Keene 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.
Which organizations bill Medicare for Mellie Keene's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mellie Keene reassigns Medicare benefits to 3 organizations: Department Of State Hospitals (Atascadero, CA), Community Health Centers Of The Central Coast Inc (Atascadero, CA) and Pain Management Specialists Medical Group (San Luis Obispo, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mellie Keene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mellie Keene was last updated on June 17, 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.
# Mellie Fay Keene, NP · NPI 1396865770
Family physician in Atascadero, California. Individual provider, active in the CMS NPPES registry since March 30, 2007.
## Identity
- **NPI:** 1396865770 (Entity type: Individual)
- **Enumerated:** March 30, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95000496 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10333 EL CAMINO REAL, Atascadero, CA 93422-5808
- **Phone:** (805) 468-2188
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Department Of State Hospitals (NPI 1174573802, Atascadero, CA); Community Health Centers Of The Central Coast Inc (NPI 1073533089, Atascadero, CA); Pain Management Specialists Medical Group (NPI 1265435416, San Luis Obispo, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Stanford University School Of Medicine, class of 2013
## Record status
- **NPPES last updated:** June 17, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1396865770) · Data from the CMS NPPES public registry.