Nicole Ann Keen, LICSW - Medicare in Edina, MN

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Nicole Ann Keen, LICSW is a medicare enrolled "Counselor - Mental Health" provider in Edina, Minnesota. Her current practice location is 7401 Metro Blvd Ste 250, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at (773) 648-3928.

Nicole Ann Keen is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134799026.

Contact Information

Nicole Ann Keen, LICSW
7401 Metro Blvd Ste 250,
Edina, MN 55439-3062
(773) 648-3928
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNicole Ann Keen
GenderFemale
SpecialityCounselor - Mental Health
Location7401 Metro Blvd Ste 250, Edina, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134799026
  • Provider Enumeration Date: 07/01/2021
  • Last Update Date: 10/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830550524
  • Enrollment ID: I20230727002129

Medical Identifiers

Medical identifiers for Nicole Ann Keen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134799026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Ann Keen allows following entities to bill medicare on her behalf.
Entity NameAffinity Psychological Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245610856
PECOS PAC ID: 0749528552
Enrollment ID: O20190220001363

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Ann Keen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Ann Keen, LICSW
530 Belvidere St E,
Saint Paul, MN 55107-2404

Ph: (773) 648-3928		Nicole Ann Keen, LICSW
7401 Metro Blvd Ste 250,
Edina, MN 55439-3062

Ph: (773) 648-3928

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.