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MRS. KEENYA ANDERSON STATEN FNP-C
NPI 1700223609
Nurse Practitioner - Family in Rocky Mount, NC

Active since May 31, 2013PECOS Enrolled
1701 SUNSET AVE STE 105C, ROCKY MOUNT, NC 27804(252) 969-0432(888) 977-1275 Get Directions Write a Review

NPPES record last updated: August 30, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Keenya Anderson Staten Fnp-c NPPES

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

MRS. KEENYA ANDERSON STATEN FNP-C (NPI 1700223609) is an individual family provider in Rocky Mount, North Carolina, licensed in North Carolina (5006213) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700223609
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KEENYA ANDERSON STATENCredential: FNP-C
Location Address1701 SUNSET AVE STE 105CRocky Mount, NC 27804
Mailing Address1701 Sunset Ave Ste 105cRocky Mount, NC 27804-4344 · (252) 969-0432 · Fax (888) 977-1275
Phone(252) 969-0432
Fax(888) 977-1275
Sole ProprietorYes
Enumeration DateMay 31, 2013
Last NPPES UpdateAugust 30, 2018
✔ NPI 1700223609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5006213
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 5006213 (NC)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 5006213 (NC)
1701 SUNSET AVE STE 105C, Rocky Mount, NC 27804
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Keenya Anderson Staten Fnp-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Keenya Staten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
1,104 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 27804 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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 Keenya Staten's NPI number?

The NPI number for Keenya Staten is 1700223609. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is Keenya Staten located?

Keenya Staten practices at 1701 Sunset Ave Ste 105C, Rocky Mount, NC 27804. The listed phone number is (252) 969-0432.

What is Keenya Staten's specialty?

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

Is Keenya Staten enrolled in Medicare?

Yes. Keenya Staten is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keenya Staten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keenya Staten reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). 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 Keenya Staten'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 Keenya Staten was last updated on August 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.