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

Mr. Jacob Bradley Keith, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1285300541

Mr. Jacob Bradley Keith, AGACNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Sjhmc Physician Services, a 665-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2021
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Practice location Address checks out

500 W Thomas Rd Ste 500
Phoenix, AZ 85013-4220
Phone: (602) 406-4000
Fax: (602) 406-6498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 306974 (AZ)

Record details

NPI number1285300541
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedAugust 18, 2021
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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