MS. AMANDA LEA KEOUGH APRN, CNP
NPI 1407507411
Nurse Practitioner - Family in Virginia, MN

Q: What is Amanda Keough's NPI number?

The NPI number for Amanda Keough is 1407507411. It was assigned to this individual provider in the NPPES registry on January 11, 2022. The provider is also known as Ms. Amanda Lea Drake.

Q: What is Amanda Keough'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 Amanda Keough was last updated on January 11, 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 January 11, 2022PECOS EnrolledAccepts Medicare Assignment

1101 9TH ST N, VIRGINIA, MN 55792(218) 741-0150 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ms. Amanda Lea Keough Aprn, Cnp NPPES

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

MS. AMANDA LEA KEOUGH APRN, CNP (NPI 1407507411) is an individual family provider in Virginia, Minnesota, licensed in Minnesota (2360670) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Essentia Health Virginia, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407507411

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. AMANDA LEA KEOUGHCredential: APRN, CNP

Location Address1101 9TH ST NVirginia, MN 55792-2329

Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364

Phone(218) 741-0150

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 11, 2022

NPPES CertifiedJanuary 11, 2022

✔ NPI 1407507411 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 MN · 2360670

1101 9TH ST N, Virginia, MN 55792

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Other Names 1

Former Name (1)Ms. Amanda Lea Drake

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan and more.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

Ms. Amanda Lea Keough Aprn, Cnp 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 ID1052705910

PECOS Enrollment IDI20220218001922

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 3

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

69 services46 patients

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.

68 services44 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN

OwnershipGovernment - Local

CMS Certification Number240084

Location901 9th Street NorthVirginia, MN 55792 · St. Louis County

Birthing friendly

Essentia Health Northern Pines Medical Center

Critical Access Hospitals · Aurora, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241340

Location5211 Highway 110Aurora, MN 55705 · St. Louis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55792 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

LISA ANN SEEBER MD

Family Medicine