JACK STEVEN KEELEY MD
NPI 1942941216
Student in an Organized Health Care Education/Training Program in Winston Salem, NC
About Jack Steven Keeley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK STEVEN KEELEY MD (NPI 1942941216) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Jack Steven Keeley Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jack Keeley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mooresville, NC 28117
- Reassigned Medicare billing, North Carolina enrollment
- 3,671 clinicians in this Medicare group
Durham, NC 27710
- Reassigned Medicare billing, North Carolina enrollment
- 1,482 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Duke University Hospital
Acute Care Hospitals · Durham, NCOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WINSTON SALEM, NC 27104
WINSTON SALEM, NC 27104
WINSTON SALEM, NC 27104
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 Jack Keeley's NPI number?
The NPI number for Jack Keeley is 1942941216. It was assigned to this individual provider in the NPPES registry on April 2, 2022.
Where is Jack Keeley located?
Jack Keeley practices at 1920 W 1st St, Winston Salem, NC 27104. The listed phone number is (336) 716-4479.
What is Jack Keeley's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jack Keeley enrolled in Medicare?
Yes. Jack Keeley 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 Jack Keeley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Keeley reassigns Medicare benefits to 2 organizations: Duke Health Integrated Practice, Inc. (Mooresville, NC) and Duke University Health System, Inc. (Durham, NC). 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 Jack Keeley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Keeley accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and Oscar Health Plan of North Carolina, Inc list Jack Keeley 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 Jack Keeley affiliated with any hospitals?
According to CMS data, Jack Keeley is affiliated with Duke University Hospital.
When was this NPI record last updated?
The NPPES record for Jack Keeley was last updated on April 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jack Steven Keeley, MD · NPI 1942941216
Student in an Organized Health Care Education/Training Program provider in Winston Salem, North Carolina. Individual provider, active in the CMS NPPES registry since April 2, 2022.
## Identity
- **NPI:** 1942941216 (Entity type: Individual)
- **Enumerated:** April 2, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1920 W 1ST ST, Winston Salem, NC 27104-4220
- **Phone:** (336) 716-4479
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Duke Health Integrated Practice, Inc. (NPI 1760288633, Mooresville, NC); Duke University Health System, Inc. (NPI 1558392977, Durham, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1942941216) · Data from the CMS NPPES public registry.