MARY JEAN KELLER (RN, NP) – Family Nurse Practitioner, NPI 1073678033

MARY JEAN KELLER (RN, NP) is a healthcare provider. based in Linthicum heights, Maryland. specializing in Family Nurse Practitioner. They hold the professional credentials RN, NP. They hold a License No. 091099 (MO). The NPI Number for MARY JEAN KELLER (RN, NP) is 1073678033

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MARY JEAN KELLER (RN, NP)
NPI
1073678033
Phone
(417) 379-7253
Address
MARY KELLER
Enumeration Date
27 December 2006
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
2466529276
Group Practice PAC ID
1254248917
Professional Enrollment ID
I20080920000056
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MARY JEAN KELLER (RN, NP)

  • MARY KELLER

    785 ELKRIDGE LANDING SUITE #300

    LINTHICUM HEIGHTS, MD 21090

    Phone: (417) 379-7253

    Fax: (844) 464-0583

    Type: Location

  • Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg

    SPRINGFIELD, MO 658084046

    Phone: (417) 269-5712

    Fax: (417) 269-7567

    Type: Mailing

  • 3525 S National Ave Ste 207

    Springfield, MO 658077315

    Phone: (417) 269-9220

    Fax: (417) 269-9229

    Type: Location

  • 207, South National Avenue, Rountree/Walnut, Springfield, Greene County, Missouri, 65802, United States

    SPRINGFIELD, MO 658077315

    Phone: (417) 269-9220

    Fax: (417) 269-9229

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Lilly USA, LLC ($26).

Total Amount

$70

General + Research + Ownership

Payments

3

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21090)

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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: 1254248917View full group profile
NameSpecialtyState
Nurse PractitionerMO
Physical Medicine And RehabilitationMO
Clinical PsychologistMO
Nurse PractitionerMO
Clinical PsychologistMO
Physician AssistantMO
Physician AssistantMO
H E M A T O L O G Y/ O N C O L O G YIL
Nurse PractitionerMO
G A S T R O E N T E R O L O G YMO

Reviews

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Frequently asked questions

What NPI should I save for MARY JEAN KELLER (RN, NP)?
Save NPI 1073678033 if you need a stable reference for MARY JEAN KELLER (RN, NP).
Does this profile mean MARY JEAN KELLER (RN, NP) is currently active?
Yes — MARY JEAN KELLER (RN, NP) appears active in the national provider directory.
What does MARY JEAN KELLER (RN, NP) treat or focus on?
Patients typically see MARY JEAN KELLER (RN, NP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY JEAN KELLER (RN, NP)?
The page summarizes Linthicum Heights, Maryland for MARY JEAN KELLER (RN, NP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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