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

Mary C Keane, APN-CNP

Individual provider Family Nurse Practitioner · NPI 1043551807

Mary C Keane, APN-CNP is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2012, 14 years ago. Practices with Edward Hospital, a 98-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
14
Licensed in
IL, MO
In the registry since
2013
Specialties on file
3

Practice location Address checks out

1031 Bellevue Ave Ste 300
Saint Louis, MO 63117-1818
Phone: (314) 647-9444
Fax: (314) 647-7317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 277001322 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2013000128 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2006021094 (MO)

Record details

NPI number1043551807
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN-CNP
Sole proprietorNo
NPI enumeratedMarch 4, 2013
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Edward Hospital — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Saint Louis