TERRENCE JOSEPH KELLER (P.A.) – Physician Assistant, NPI 1861714875

TERRENCE JOSEPH KELLER (P.A.) is a healthcare provider. based in Fergus falls, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 11815 (MN). The NPI Number for TERRENCE JOSEPH KELLER (P.A.) is 1861714875

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
TERRENCE JOSEPH KELLER (P.A.)
NPI
1861714875
Phone
(218) 739-2221
Address
712 South Cascade
Enumeration Date
17 February 2010
Last Update Date
10 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3202178480
Graduation Year
2014 (12 years ago)
PAC ID
2466772207
Group Practice PAC ID
2264598077
Professional Enrollment ID
I20150519002441
Address ID
MN563871964WA901XXNXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,031 PHYSICIAN ASSISTANT in MN

Provider Addresses for TERRENCE JOSEPH KELLER (P.A.)

  • 712 South Cascade

    Fergus Falls, MN 565375800

    Phone: (218) 739-2221

    Type: Location

  • Rejuv Fitness, 901, 3rd Street North, Waite Park, Stearns County, Minnesota, 56387, United States

    WAITE PARK, MN 563871964

    Phone: (320) 217-8480

    Fax: (320) 217-8490

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Fidia Pharma USA Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Fidia Pharma USA Inc.$19
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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-19

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150519002441IPhysician AssistantMNTBD

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
J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg19,15229$0
77002Fluoroscopic guidance for needle placement24799$0
20610Aspiration and/or injection of fluid from large joint23797$0
64425Injection of anesthetic agent and/or steroid into lower abdomen and groin nerve8836$0
99213Established patient office or other outpatient visit, 20-29 minutes7954$0
View full utilization report →

Insurance plans in this area (ZIP 56537)

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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: 2264598077View full group profile
NameSpecialtyState
-MN
Nurse PractitionerMN
Mental Health CounselorMN
Family Practice, Sports MedicineMN
-MN
Mental Health CounselorPA
Physical Therapist In Private PracticeNY
Nurse PractitionerMN
Orthopedic SurgeryTX
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What identifier follows TERRENCE JOSEPH KELLER (P.A.) across health systems?
The NPI 1861714875 uniquely identifies TERRENCE JOSEPH KELLER (P.A.) in U.S. healthcare data.
Is TERRENCE JOSEPH KELLER (P.A.) currently accepting referrals based on NPI status?
Registry metadata lists TERRENCE JOSEPH KELLER (P.A.) as active.
What services align with TERRENCE JOSEPH KELLER (P.A.)'s listing?
TERRENCE JOSEPH KELLER (P.A.)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is TERRENCE JOSEPH KELLER (P.A.) tied to Fergus Falls, Minnesota?
If you are local to Fergus Falls, Minnesota, TERRENCE JOSEPH KELLER (P.A.) may be relevant to your search.
Who maintains TERRENCE JOSEPH KELLER (P.A.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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