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

Keyannah Patel

Individual provider Nurse Practitioner · NPI 1407661499

Keyannah Patel is a Nurse Practitioner in Fredericksburg, Virginia. Qualified in 2024, 2 years ago. Practices with Premier Cardiac and Vascular LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2025
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Practice location Address checks out

406 Chatham Sq Ofc Park
Fredericksburg, VA 22405-2585
Phone: (540) 666-6181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024191162 (VA)

Record details

NPI number1407661499
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 8, 2025
Last updated in NPPESFebruary 8, 2025
Certification dateFebruary 8, 2025
Mailing address185 River Acres Ln, Fredericksburg, VA 22406-5430

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Premier Cardiac And Vascular Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fredericksburg