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Provider Profile

Mary M. Keenan

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At a glance

About Mary Keenan

Mary M. Keenan is a nurse practitioner — gerontology based in Peoria, IL. The provider's National Provider Identifier (NPI) is 1124988944.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2025

Credentials & Licensing

IL licenceAs reported to the NPI registry
No. 209035156As reported
IL licenceAs reported to the NPI registry
No. 41513787As reported
NPINational Provider Identifier
1124988944Issued 2025

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Mary M. Keenan?

Mary M. Keenan is a nurse practitioner in Peoria, IL. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Gerontology”.

NPI registry

What is Mary M. Keenan's address?

Mary M. Keenan is listed at 200 E Pennsylvania Ave, Peoria, IL 61603. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Mary M. Keenan?

The number on file is (309) 624-4000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Mary M. Keenan's NPI number?

Mary M. Keenan's National Provider Identifier is 1124988944. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Mary M. Keenan train?

Mary M. Keenan attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How long has Mary M. Keenan been practicing?

Mary M. Keenan has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Has Mary M. Keenan confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Mary M. Keenan. If this is you, claiming it is free.

Guide.md

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