Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Ann Keener, PA-C

Individual provider Medical Physician Assistant · NPI 1023618428

Stephanie Ann Keener, PA-C is a Physician Assistant in Xenia, Ohio. Qualified in 2020, 6 years ago. Practices with Decoach Team LLC, a 16-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
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

36 N Detroit St Ste 105
Xenia, OH 45385-2963
Phone: (937) 610-4673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9505 Montgomery Rd Ste 201, Montgomery, OH 45242-7248 — (513) 815-3667
  • 888 Dayton St Unit 106, Yellow Springs, OH 45387-1778 — (937) 767-1088

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.006497RX (OH)

Record details

NPI number1023618428
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 27, 2020
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Decoach Team Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Xenia