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

KENG CHEA CRNP
NPI 1558288506
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since July 01, 2026PECOS Enrolled
3400 CIVIC CENTER BLVD, 2ND FLR. SOUTH PAVILION, PHILADELPHIA, PA 19104(215) 662-3487(215) 349-5534 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Keng Chea Crnp NPPES

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

KENG CHEA CRNP (NPI 1558288506) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP031845) and active in the NPI registry since July 2026. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558288506
Entity TypeIndividual
Primary Taxonomy363LA2100X
Provider Legal NameKENG CHEACredential: CRNP
Location Address3400 CIVIC CENTER BLVD, 2ND FLR. SOUTH PAVILIONPhiladelphia, PA 19104-4238
Mailing Address3400 Civic Center Blvd, 2nd Flr. South PavilionPhiladelphia, PA 19104-4238 · (215) 662-3487 · Fax (215) 349-5534
Fax(215) 349-5534
Sole ProprietorYes
Enumeration DateJuly 1, 2026
Last NPPES UpdateSeptember 14, 2026
NPPES CertifiedSeptember 14, 2026
✔ NPI 1558288506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP031845
3400 CIVIC CENTER BLVD, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keng Chea Crnp 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 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Internal Medicine (Cardiovascular Disease)
3400 CIVIC CENTER BLVD, EAST PAVILION, 2ND FLOOR
PHILADELPHIA, PA 19104
Psychiatric Unit
3400 CIVIC CENTER BLVD, 2 SOUTH PAVILION
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 CIVIC CENTER BLVD, 2ND FLOOR, SOUTH PAVILION
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 CIVIC CENTER BLVD, CONCOURSE LEVEL
PHILADELPHIA, PA 19104
Urology
3400 CIVIC CENTER BLVD, UROLOGY, PERELMAN CENTER, 3RD FLOOR, WEST PAVILION
PHILADELPHIA, PA 19104
Pharmacist
3400 CIVIC CENTER BLVD, ROOM 101 WEST
PHILADELPHIA, PA 19104

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 Keng Chea's NPI number?

The NPI number for Keng Chea is 1558288506. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Keng Chea located?

Keng Chea practices at 3400 Civic Center Blvd 2nd Flr. South Pavilion, Philadelphia, PA 19104. The listed phone number is (215) 662-3487.

What is Keng Chea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Keng Chea enrolled in Medicare?

Yes. Keng Chea is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keng Chea was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.