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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

RAVEN KEITH
NPI 1417867888
Nurse Practitioner in Columbia, MD

Active since September 09, 2026PECOS Enrolled
5500 KNOLL NORTH DR STE 440, COLUMBIA, MD 21045(410) 730-0970 Get Directions Write a Review

NPPES record added: September 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Raven Keith NPPES

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

RAVEN KEITH (NPI 1417867888) is an individual nurse practitioner in Columbia, Maryland, licensed in Maryland (R216823) and active in the NPI registry since September 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417867888
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRAVEN KEITH
Location Address5500 KNOLL NORTH DR STE 440Columbia, MD 21045-2364
Mailing Address5500 Knoll North Dr Ste 440Columbia, MD 21045-2364
Phone(410) 730-0970
Sole ProprietorNo
Enumeration DateSeptember 9, 2026
NPPES CertifiedSeptember 9, 2026
✔ NPI 1417867888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MD · R216823
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5500 KNOLL NORTH DR STE 440, Columbia, MD 21045
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raven Keith 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 21045 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 7

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

DANIEL WAYNE HALAYKO D.P.M.
Podiatrist
5500 KNOLL NORTH DR STE 440
COLUMBIA, MD 21045
Howard County (410) 730-0970
PODIATRY ASSOCIATES, P.A.
Podiatrist
5500 KNOLL NORTH DR STE 440
COLUMBIA, MD 21045
Howard County (410) 730-0970
PODIATRY ASSOCIATES PA
Podiatrist
5500 KNOLL NORTH DR STE 440
COLUMBIA, MD 21045
Howard County (410) 730-0970
OGECHUKWU IMONUGO DPM
Podiatrist
5500 KNOLL NORTH DR STE 440
COLUMBIA, MD 21045
Howard County (410) 730-0970
CHARLES MICHAEL BOYD DPM
Podiatrist
5500 KNOLL NORTH DR STE 440
COLUMBIA, MD 21045
Howard County (410) 730-0970
PODIATRY ASSOCIATES AMBULATORY SURGICAL CENTERS LLC
Clinic/Center (Ambulatory Surgical)
5500 KNOLL NORTH DR STE 440
COLUMBIA, MD 21045
Howard County (410) 730-0970
EVAN K YOO D.P.M.
Podiatrist
5500 KNOLL NORTH DR STE 440
COLUMBIA, MD 21045
Howard County (410) 730-0970

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 Raven Keith's NPI number?

The NPI number for Raven Keith is 1417867888. It was assigned to this individual provider in the NPPES registry on September 9, 2026.

Where is Raven Keith located?

Raven Keith practices at 5500 Knoll North Dr Ste 440, Columbia, MD 21045. The listed phone number is (410) 730-0970.

What is Raven Keith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Raven Keith enrolled in Medicare?

Yes. Raven Keith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raven Keith was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.