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

MS. Jennifer Lynn Keathley, MMS, PA-C

Individual provider Surgical Physician Assistant · NPI 1073848248

MS. Jennifer Lynn Keathley, MMS, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2009, 17 years ago. Practices with Desert Institute for Spine Care PC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
17
Licensed in
AZ
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1635 E Myrtle Ave Ste 400
Phoenix, AZ 85020-5556
Phone: (602) 944-2900
Fax: (602) 944-0064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4511 (AZ)

Record details

NPI number1073848248
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedOctober 6, 2009
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Desert Institute For Spine Care Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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