MS. COURTNEY ANN KELLER (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1336307495
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
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Provider Addresses for MS. COURTNEY ANN KELLER (PMHNP)
West Thunderbird Road, Peoria, Maricopa County, Arizona, 85306, United States
PEORIA, AZ 853814847
Phone: (623) 876-8420
Fax: (623) 285-2626
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150319002123 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 197 | 86 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 85381)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | ND | 90792 | Psychiatric diagnostic evaluation with medical services | 36 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Gastroenterology | AZ | |
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Infectious Disease, Internal Medicine | AZ | |
| Nurse Practitioner | AZ | |
| Cardiac Surgery | IN | |
| - | AZ | |
| General Surgery | AZ | |
| Sports Medicine | IL | |
| Orthopedic Surgery | AZ |
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