MRS. LACEE A KELLER (PA-C) – Physician Assistant, NPI 1417232059
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. LACEE A KELLER (PA-C)
1340 RYAN PKWY
ALGONQUIN, IL 601024527
Phone: (815) 276-0150
Fax: (877) 461-6742
Type: Mailing
235 S Rand Rd
Lake Zurich, IL 600472273
Phone: (847) 252-6090
Type: Location
25 E SCHAUMBURG RD STE 101
SCHAUMBURG, IL 601943548
Phone: (847) 252-6090
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 33 Open Payments records for all available years, with a total value of $616.
Total Amount is formed as General ($616) + Research ($0) + Ownership ($0) = $616.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($358).
Total Amount
$616
General + Research + Ownership
Payments
33
Total payment records
General Amount
$616
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $358 |
| VIVUS LLC | $117 |
| Lilly USA, LLC | $81 |
| Currax Pharmaceuticals LLC | $60 |
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: 2011-11-21
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 |
|---|---|---|---|---|
| I20111121000682 | I | Physician Assistant | IL | 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 | 108 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 11 | $0 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 60102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL |
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