Mary C. Keane, APN-CNP
NPI 1043551807ActiveIndividual· Nurse Practitioner· Saint Louis, MO
Nurse Practitioner (APN-CNP) with Endeavor Health Medical Group and 1 other group, practicing in Saint Louis, Missouri. 109 Medicare patients in 2024, $8,813 paid; nearly all of their 192 Part D prescriptions were generic (90%). Lists Edward Hospital as a hospital affiliation.
Overview
| NPI | 1043551807 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APN-CNP |
| Sole proprietor | No |
| NPI issued | Mar 4, 2013 |
| Last updated in NPPES | Apr 9, 2026 |
| Certified by provider | Apr 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 277001322 | IL |
| Nurse Practitioner, Family | 363LF0000X | 2013000128 | MO |
| Registered Nurse | 163W00000X | 2006021094 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 109 |
|---|---|
| Services billed | 167 across 33 procedure codes |
| Paid by Medicare | $8,813 |
Part D prescriptions in 2024
| Prescriptions (claims) | 192 · 199 30-day fills |
|---|---|
| Patients | 134 |
| Total drug cost | $1,931 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Endeavor Health Medical GroupEvanston, IL · 3,350 clinicians
- Edward HospitalBolingbrook, IL · 96 clinicians
Hospital affiliation
- Edward HospitalNaperville, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 448 nurse practitioners in Saint Louis · All nurse practitioners in Missouri