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

Jennifer Keith, PA

Individual provider Physician Assistant · NPI 1275015901

Jennifer Keith, PA is a Physician Assistant in Bloomington, Indiana. Qualified in 2018, 8 years ago. Practices with Urology of Indiana LLC, a 81-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
8
Licensed in
IN
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2907 S McIntire Dr
Bloomington, IN 47403-4225
Phone: (317) 890-2000
Fax: (317) 859-7220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10002549A (IN)

Record details

NPI number1275015901
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 29, 2018
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address679 E County Line Rd, Greenwood, IN 46143-1049

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Urology Of Indiana Llc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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