JENNIFER KETH PA-C
NPI 1407682040
Physician Assistant - Medical in New Haven, CT

Active since September 10, 2024PECOS EnrolledAccepts Medicare Assignment
20 YORK ST, NEW HAVEN, CT 06510(203) 688-4748 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Sep 10, 2024 (2 updates tracked since 2024).

About Jennifer Keth Pa-c NPPES

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

JENNIFER KETH PA-C (NPI 1407682040) is an individual medical provider in New Haven, Connecticut, licensed in Connecticut (6973) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Hofstra North Shore - Lij School Of Medicine (2024).

NPPES Registry Identity

NPI1407682040
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER KETHCredential: PA-C
Location Address20 YORK STNew Haven, CT 06510-3202
Mailing Address20 York StNew Haven, CT 06510-3202 · (203) 688-4748
Sole ProprietorYes
Medical School CMSHofstra North Shore - Lij School Of MedicineGraduated 2024
Enumeration DateSeptember 10, 2024
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
NPI 1407682040 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 CT · 6973
20 YORK ST, New Haven, CT 06510

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

Jennifer Keth 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 ID5597285932
PECOS Enrollment IDI20250228000447
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.

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.

Nurse Practitioner (Family)
20 YORK ST
NEW HAVEN, CT 06510
Pediatrics (Neonatal-Perinatal Medicine)
20 YORK ST, DEPT OF NEONATOLOGY
NEW HAVEN, CT 06510
Durable Medical Equipment & Medical Supplies (Customized Equipment)
20 YORK ST
NEW HAVEN, CT 06510
Dietitian, Registered
20 YORK ST, FOOD AND NUTRITION EPB806
NEW HAVEN, CT 06510
Hospitalist
20 YORK ST
NEW HAVEN, CT 06510
Psychiatry & Neurology (Neurology)
20 YORK ST
NEW HAVEN, CT 06510
Internal Medicine (Nephrology)
20 YORK ST
NEW HAVEN, CT 06510
Obstetrics & Gynecology
20 YORK ST
NEW HAVEN, CT 06510

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 Jennifer Keth's NPI number?

The NPI number for Jennifer Keth is 1407682040. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Where is Jennifer Keth located?

Jennifer Keth practices at 20 York St, New Haven, CT 06510. The listed phone number is (203) 688-4748.

What is Jennifer Keth's specialty?

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

Is Jennifer Keth enrolled in Medicare?

Yes. Jennifer Keth 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.

When was this NPI record last updated?

The NPPES record for Jennifer Keth was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.