Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Lee Keenan, CRNP

Individual provider Family Nurse Practitioner · NPI 1124798053

Amanda Lee Keenan, CRNP is a Nurse Practitioner in Lebanon, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Blue Mountain Regenerative Medicine PLLC, a 3-clinician group, works from 11 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

720 Norman Dr
Lebanon, PA 17042-7481
Phone: (717) 639-3230
Fax: (717) 274-1659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 9 Nathan Ln # A, Annville, PA 17003-6500 — (717) 639-3350
  • 446 N Reading Rd Fl 2, Ephrata, PA 17522-9802 — (717) 738-5275
  • 4150 Barrett Blvd, Ephrata, PA 17522-8979 — (717) 738-5648
  • 954 Isabel Dr, Lebanon, PA 17042-7482 — (717) 376-1180
  • 600 Isabel Dr Ste 3, Lebanon, PA 17042-3500 — (717) 272-7272
  • 30 N 4th St, Lebanon, PA 17046-5606 — (717) 274-0474
  • 252 S 4th St, Lebanon, PA 17042-6111 — (717) 270-7688
  • 101 Fairview Cir, Lebanon, PA 17042-9581 — (717) 279-7303
  • 101 W Airport Rd # A, Lititz, PA 17543-9274 — (717) 466-2445
  • 6 Perri Ave, Myerstown, PA 17067-3200 — (717) 949-6581

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP022593 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN660162 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence MK7819088 (PA)

Record details

NPI number1124798053
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedSeptember 13, 2021
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Blue Mountain Regenerative Medicine Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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