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

Miss. Crystal Renee Keen, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1336333897

Miss. Crystal Renee Keen, ANP is a Nurse Practitioner in Raleigh, North Carolina. Qualified in 2007, 19 years ago. Practices with North Carolina Mg LLC, a 712-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
19
Licensed in
NC
In the registry since
2007
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Practice location Address checks out

2800 Blue Ridge Rd Ste 204
Raleigh, NC 27607-6477
Phone: (919) 784-3324
Fax: (919) 784-7399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 186339 (NC)

Record details

NPI number1336333897
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorYes
NPI enumeratedAugust 28, 2007
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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