BART R KELLER (PA-C) – Physician Assistant, NPI 1679571475

BART R KELLER (PA-C) is a healthcare provider. based in Castle rock, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601002360 (MI). The NPI Number for BART R KELLER (PA-C) is 1679571475

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
BART R KELLER (PA-C)
NPI
1679571475
Phone
(303) 688-6900
Address
410 S WILCOX ST
Enumeration Date
14 July 2005
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207335260
Graduation Year
1994 (32 years ago)
PAC ID
0042383846
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20120820001093
Address ID
CO801047419CA4404XLNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Loading map...

Provider Addresses for BART R KELLER (PA-C)

  • 410, South Wilcox Street, Castle Rock, Douglas County, Colorado, 80104, United States

    CASTLE ROCK, CO 801042662

    Phone: (303) 688-6900

    Fax: (303) 660-6504

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2012-08-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120820001093IPhysician AssistantCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9791$0
99203New patient office or other outpatient visit, 30-44 minutes5353$0
99214Established patient office or other outpatient visit, 30-39 minutes2323$0
81003Automated urinalysis test1717$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected1717$0
View full utilization report →

Insurance plans in this area (ZIP 80104)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638208549View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify BART R KELLER (PA-C) with an NPI only?
You can start verification with NPI 1679571475 for BART R KELLER (PA-C), then check state licensing separately.
Is BART R KELLER (PA-C) listed as active for patients and plans?
The listing shows BART R KELLER (PA-C) as active in the NPI system.
What is BART R KELLER (PA-C) best known for clinically?
Directory data describes BART R KELLER (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does BART R KELLER (PA-C) list a practice location?
Patients near Castle Rock, Colorado may find BART R KELLER (PA-C) in results; validate coverage separately.
Why does BART R KELLER (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

ALICIA A HEUSER (PA)

Surgical Physician Assistant
2695 ROCKY MOUNTAIN AVE STE 150
NPI: 1225036973

MRS. LEAH D. GUY (PA-C)

Physician Assistant
8101, East Lowry Boulevard, Denver, Colorado, 80230, United States
NPI: 1205824380

MAHIN B JALILFAR (PAC)

Physician Assistant
Kaiser Permanente, 9285, Hepburn Street, Douglas County, Colorado, 80129, United States
NPI: 1245229160

CARRIE A ALLEN (P.A.)

Physician Assistant
Meadows Boulevard, Castle Rock, Douglas County, Colorado, 80109, United States
NPI: 1720065956

MRS. AMBER S LONG (PA-C)

Physician Assistant
2356 Meadows Blvd Ste 340
NPI: 1902858095
Alexander Medical Office Building, 2352, Meadows Boulevard, Castle Rock, Douglas County, Colorado, 80109, United States
NPI: 1316059702

STEPHANIE RENEE KEENE (PA-C)

Physician Assistant
10350 E DAKOTA AVE
NPI: 1699868240
1189, South Perry Street, Castle Rock, Douglas County, Colorado, 80104, United States
NPI: 1982786489
Founders Family Medicine and Urgent Care, 4386, Trail Boss Drive, Castle Rock, Douglas County, Colorado, 80104, United States
NPI: 1700954740