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

Nicole Marie Keenan

Individual provider Certified Registered Nurse Anesthetist · NPI 1750774774

Nicole Marie Keenan is a Certified Registered Nurse Anesthetist (CRNA) in Rochester, New York. Qualified in 2015, 11 years ago. Practices with Gastrointestinal Care of Long Island PLLC, a 169-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
2

Practice location Address checks out

312 Marion St
Rochester, NY 14610-1122
Phone: (585) 472-1087
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 650615-1 (NY)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 650615 (NY)

Record details

NPI number1750774774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2015
Last updated in NPPESMay 15, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Gastrointestinal Care Of Long Island Pllc — 169 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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