BRENDA K KELLER (MD) – Internal Medicine Physician, NPI 1962451260
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for BRENDA K KELLER (MD)
Candlewood Church, 8701, Pacific Street, Omaha, Douglas County, Nebraska, 68114, United States
OMAHA, NE 681310266
Phone: (402) 249-6136
Fax: (402) 502-6823
Type: Mailing
Cass Street, Omaha, Douglas County, Nebraska, 68114, United States
OMAHA, NE 681322913
Phone: (402) 249-6136
Fax: (402) 502-6823
Type: Location
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: 2010-01-21
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 |
|---|---|---|---|---|
| I20100121000673 | I | Geriatric Medicine | NE | 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 |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 1,270 | 14 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 69 | 36 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 24 | 18 | $0 |
Insurance plans in this area (ZIP 68131)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| N E U R O L O G Y | NE | |
| Family Practice, Hospitalist | IA | |
| Nurse Practitioner | NE | |
| Internal Medicine | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NE | |
| Infectious Disease | NE | |
| - | NE | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NH | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NE |
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