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DR. KEEDRA DESHAUNA MCNEILL M.D.
NPI 1952570939
Pediatrics in Vallejo, CA

Active since February 25, 2008PECOS Enrolled
975 SERENO DR, VALLEJO, CA 94589(707) 651-2005 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Keedra Deshauna Mcneill M.d. NPPES

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

DR. KEEDRA DESHAUNA MCNEILL M.D. (NPI 1952570939) is an individual pediatrics provider in Vallejo, California, licensed in California (A98735) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952570939
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KEEDRA DESHAUNA MCNEILLCredential: M.D.
Location Address975 SERENO DRVallejo, CA 94589-2441
Mailing Address975 Sereno DrVallejo, CA 94589-2441 · (707) 651-2005
Phone(707) 651-2005
Sole ProprietorNo
Enumeration DateFebruary 25, 2008
Last NPPES UpdateJanuary 11, 2022
✔ NPI 1952570939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A98735
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
975 SERENO DR, Vallejo, CA 94589
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Other Names 1

Other Name (5)Mrs. Keedra Deshauna Sales

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keedra Deshauna Mcneill M.d. 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 Keedra Mcneill reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
Same address
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

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 94589 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$113.05 typical visit price
range $21.86 – $157.69
Typical copayment $28.26 (range $5.46 – $39.42)
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.

DR. ROBERTA YIWUN WANG M.D.
Physical Medicine & Rehabilitation
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-5128
RIHONG ZHOU
Pharmacist
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-2072
EVAN HIRSCHBEIN
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 339-2074
MS. JEAN BROADNAX LCSW
Social Worker (Clinical)
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4423
SEAN NISAM
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4071
LI M. TSANG MD
Anesthesiology
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
DONN R. ERICKSON MD
Family Medicine
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
JOHN S. WOOD MD
Surgery
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000

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 Keedra Mcneill's NPI number?

The NPI number for Keedra Mcneill is 1952570939. It was assigned to this individual provider in the NPPES registry on February 25, 2008. The provider is also known as Mrs. Keedra Deshauna Sales.

Where is Keedra Mcneill located?

Keedra Mcneill practices at 975 Sereno Dr, Vallejo, CA 94589. The listed phone number is (707) 651-2005.

What is Keedra Mcneill's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Keedra Mcneill enrolled in Medicare?

Yes. Keedra Mcneill is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keedra Mcneill's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keedra Mcneill reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). 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 Keedra Mcneill'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 Keedra Mcneill was last updated on January 11, 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.