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MRS. KEONA L PHILLIPS APRN
NPI 1811415201
Nurse Practitioner - Family in Memphis, TN

Active since September 06, 2017PECOS Enrolled
6055 PRIMACY PKWY STE 100, MEMPHIS, TN 38119(901) 445-1010 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 17, 2023, Nov 18, 2021, Jun 8, 2021 and 2 more (5 updates tracked since 2018).

About Mrs. Keona L Phillips Aprn NPPES

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

MRS. KEONA L PHILLIPS APRN (NPI 1811415201) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (22798) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811415201
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KEONA L PHILLIPSCredential: APRN
Location Address6055 PRIMACY PKWY STE 100Memphis, TN 38119-5514
Mailing Address2610 Corporate Ave E Ste 100Memphis, TN 38132-1735 · (901) 346-1270 · Fax (901) 346-1271
Phone(901) 445-1010
Sole ProprietorNo
Enumeration DateSeptember 6, 2017
Last NPPES UpdateFebruary 17, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2023
✔ NPI 1811415201 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
License✔ Licensed in TN · 22798
6055 PRIMACY PKWY STE 100, Memphis, TN 38119
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Mrs. Keona L Phillips Aprn 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 Keona Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Camelot Care Centers, LLC
189 mi
Community/Behavioral Health
446 JAMES ROBERTSON PKWY STE 201
Nashville, TN 37219
  • Reassigned Medicare billing, Tennessee enrollment
  • 10 clinicians in this Medicare group
NPI 1831397645 (615) 370-4228

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 38119 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 2

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

IMMUNOBRIDGE MEDICAL GROUP, PLC
Clinic/Center (Oncology)
6055 PRIMACY PKWY STE 100
MEMPHIS, TN 38119
Shelby County (901) 299-3129
THE WEST CLINIC, PLLC
Internal Medicine (Hematology & Oncology)
6055 PRIMACY PKWY STE 100
MEMPHIS, TN 38119
Shelby County (901) 440-4129

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 Keona Phillips's NPI number?

The NPI number for Keona Phillips is 1811415201. It was assigned to this individual provider in the NPPES registry on September 6, 2017.

Where is Keona Phillips located?

Keona Phillips practices at 6055 Primacy Pkwy Ste 100, Memphis, TN 38119. The listed phone number is (901) 445-1010.

What is Keona Phillips's specialty?

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

Is Keona Phillips enrolled in Medicare?

Yes. Keona Phillips is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keona Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keona Phillips reassigns Medicare benefits to Camelot Care Centers, LLC (Nashville, TN). 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 Keona Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keona Phillips accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Keona Phillips 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.

When was this NPI record last updated?

The NPPES record for Keona Phillips was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.