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

Keegan Corbett

Individual provider Registered Nurse · NPI 1659111334

Keegan Corbett is a Certified Registered Nurse Anesthetist (CRNA) in Port Jefferson Station, New York. Qualified in 2024, 2 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

108 Commodore Cir
Port Jefferson Station, NY 11776-2266
Phone: (802) 681-8317
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 151335 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 744385-01 (NY)

Record details

NPI number1659111334
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port Jefferson Station