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CAROLINE C KEENEY NP-C
NPI 1528356276
Nurse Practitioner - Family in Ketchum, ID

Active since July 15, 2011PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
100 HOSPITAL DR, KETCHUM, ID 83340(208) 727-8710(208) 727-8685 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, Nov 3, 2021 (2 updates tracked since 2021).

About Caroline C Keeney Np-c NPPES

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

CAROLINE C KEENEY NP-C (NPI 1528356276) is an individual family provider in Ketchum, Idaho, licensed in Idaho (4271787) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with St Luke's Wood River Medical Center, and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1528356276
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLINE C KEENEYCredential: NP-C
Location Address100 HOSPITAL DRKetchum, ID 83340
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-8866
Phone(208) 727-8710
Fax(208) 727-8685
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 15, 2011
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1528356276 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
Licenses✔ Licensed in ID · 4271787✔ Licensed in UT · 4759616-4405
100 HOSPITAL DR, Ketchum, ID 83340
Open in Google Maps ↗

Secondary Practice Location 1

Location 130 N 1900 E, Room 4A100Salt Lake City, UT 84132-0100 · Phone (801) 585-2341

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare and more.Insurance ›

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

Caroline C Keeney Np-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 ID9234305491
PECOS Enrollment IDI20120110000631, I20260603002951
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Caroline Keeney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Lukes Clinic - Wood River LLC
Same address
Internal Medicine
100 HOSPITAL DRIVE
Ketchum, ID 83340
  • Reassigned Medicare billing, Idaho enrollment
  • 74 clinicians in this Medicare group
NPI 1972891604 (208) 727-8100
University Of Utah Adult Services
222 mi
Dermatology
165 N. UNIVERSITY AVE. FARMINGTON
Farmington, UT 84025
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1649724139 (801) 213-3200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
183 services132 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
110 services69 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.
42 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131323
Location100 Hospital DriveKetchum, ID 83340 · Blaine County
Emergency services Birthing friendly

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83340 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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.

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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers23 claims23 services$72.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SYNAPS CORP
Nurse Anesthetist, Certified Registered
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 406-1727
CAITLIN FERRY M.S., CCC-SLP
Speech-Language Pathologist
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 727-8800
ROYAL MCCLURE MD
Internal Medicine
100 HOSPITAL DR, STE 201
KETCHUM, ID 83340
Blaine County (208) 727-8888
DR. HADI BHURGRI MD
Internal Medicine (Gastroenterology)
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 727-8888
SAWTOOTH ORTHOPEDIC & FRACTURE CLINIC, PA
Clinic/Center (Medical Specialty)
100 HOSPITAL DR, SUITE 107
KETCHUM, ID 83340
Blaine County (208) 622-3311
KERRY ANN RENNER RN
Registered Nurse (Orthopedic)
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 726-5027
JAMES CLEVELAND CRNA
Nurse Anesthetist, Certified Registered
100 HOSPITAL DR
KETCHUM, ID 83340
Blaine County (208) 727-8800
SIARRA WALKER OTR/L, OTD, ATC
Occupational Therapist
100 HOSPITAL DR, SUITE 104
KETCHUM, ID 83340
Blaine County (208) 727-8253

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 Caroline Keeney's NPI number?

The NPI number for Caroline Keeney is 1528356276. It was assigned to this individual provider in the NPPES registry on July 15, 2011.

Where is Caroline Keeney located?

Caroline Keeney practices at 100 Hospital Dr, Ketchum, ID 83340. The listed phone number is (208) 727-8710.

What is Caroline Keeney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Caroline Keeney enrolled in Medicare?

Yes. Caroline Keeney 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 Caroline Keeney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Keeney reassigns Medicare benefits to 2 organizations: St Lukes Clinic - Wood River LLC (Ketchum, ID) and University Of Utah Adult Services (Farmington, UT). 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 Caroline Keeney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Keeney accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Providence Health Plan and 3 other insurers list Caroline Keeney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Caroline Keeney affiliated with any hospitals?

According to CMS data, Caroline Keeney is affiliated with St Luke's Wood River Medical Center and University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Caroline Keeney was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.