JESSICA ELAINE KEENAN D.O.
NPI 1518248442
Pediatrics in Stockton, CA
About Jessica Elaine Keenan D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA ELAINE KEENAN D.O. (NPI 1518248442) is an individual pediatrics provider in Stockton, California, licensed in California (20A14197) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.
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 (PECOS)
Jessica Elaine Keenan D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Keenan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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 95210 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.
STOCKTON, CA 95210
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 Jessica Keenan's NPI number?
The NPI number for Jessica Keenan is 1518248442. It was assigned to this individual provider in the NPPES registry on September 6, 2011.
Where is Jessica Keenan located?
Jessica Keenan practices at 7210 Murray Dr Community Medical Centers, Stockton, CA 95210. The listed phone number is (209) 373-2816.
What is Jessica Keenan's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Jessica Keenan enrolled in Medicare?
Yes. Jessica Keenan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Keenan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Keenan reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Jessica Keenan'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 Jessica Keenan was last updated on July 28, 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.