KAITLYN KEENAN FNP
NPI 1861273773
Nurse Practitioner - Family in Boston, MA
About Kaitlyn Keenan Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYN KEENAN FNP (NPI 1861273773) is an individual family provider in Boston, Massachusetts, licensed in Massachusetts (RN2308235) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaitlyn Keenan Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kaitlyn Keenan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- Also billed through NPI 1720037385 (Massachusetts)
- 2,579 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 02215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
BOSTON, MA 02215
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 Kaitlyn Keenan's NPI number?
The NPI number for Kaitlyn Keenan is 1861273773. It was assigned to this individual provider in the NPPES registry on October 9, 2023.
Where is Kaitlyn Keenan located?
Kaitlyn Keenan practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (161) 766-7700.
What is Kaitlyn Keenan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kaitlyn Keenan enrolled in Medicare?
Yes. Kaitlyn Keenan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kaitlyn Keenan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Keenan reassigns Medicare benefits to Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA). 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 Kaitlyn 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 Kaitlyn Keenan was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kaitlyn Keenan, FNP · NPI 1861273773
Family physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since October 9, 2023.
## Identity
- **NPI:** 1861273773 (Entity type: Individual)
- **Enumerated:** October 9, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2308235 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 330 BROOKLINE AVE, Boston, MA 02215-5400
- **Phone:** (161) 766-7700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1194765438, Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1861273773) · Data from the CMS NPPES public registry.