ATHENA MARIE KEOBOUNNAM PA-C
NPI 1982482816
Physician Assistant - Surgical in Fresno, CA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since September 20, 2023PECOS EnrolledAccepts Medicare Assignment

7257 N FRESNO ST, FRESNO, CA 93720(559) 227-7463 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 13, 2023, Oct 31, 2023 (2 updates tracked since 2023).

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About Athena Marie Keobounnam Pa-c NPPES

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

ATHENA MARIE KEOBOUNNAM PA-C (NPI 1982482816) is an individual surgical provider in Fresno, California, licensed in California (PA63422) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1982482816

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameATHENA MARIE KEOBOUNNAMCredential: PA-C

Location Address7257 N FRESNO STFresno, CA 93720-2950

Mailing Address4733 W Vassar AveFresno, CA 93722-7327 · (559) 367-3936

Phone(559) 227-7463

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 20, 2023

Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration

NPPES CertifiedOctober 22, 2023

✔ NPI 1982482816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA63422

Also ListedPhysician AssistantTaxonomy 363A00000X

7257 N FRESNO ST, Fresno, CA 93720

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Athena Marie Keobounnam Pa-c 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.

PECOS PAC ID4082060553

PECOS Enrollment IDI20231020000351

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

31 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

20 services16 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

12 services11 patients