MRS. JENNIFER KELLER (APN) – Family Nurse Practitioner, NPI 1508120940

MRS. JENNIFER KELLER (APN) is a healthcare provider. based in Reno, Nevada. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. TAPN700791 (NV). The NPI Number for MRS. JENNIFER KELLER (APN) is 1508120940

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER KELLER (APN)
NPI
1508120940
Phone
(775) 323-2080
Address
5590 KIETZKE LN
Enumeration Date
29 June 2012
Last Update Date
25 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7753232080
Graduation Year
2012 (14 years ago)
PAC ID
1557516622
Group Practice PAC ID
3870588619
Professional Enrollment ID
I20130222000148
Address ID
NV895113019RE5590XLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for MRS. JENNIFER KELLER (APN)

  • 5590 KIETZKE LN

    RENO, NV 895113019

    Phone: (775) 323-2080

    Fax: (775) 323-8216

    Mailing address matches the actual address.

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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Boston Scientific Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-02-22

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
I20130222000148INurse PractitionerNVTBD

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
99203New patient office or other outpatient visit, 30-44 minutes5353$0
99213Established patient office or other outpatient visit, 20-29 minutes3432$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment2916$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment2424$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion2315$0
View full utilization report →

Insurance plans in this area (ZIP 89511)

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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: 3870588619View full group profile
NameSpecialtyState
N E U R O S U R G E R YNV
-NV
Physician AssistantNV
N E U R O S U R G E R YCA
Nurse PractitionerNV
Physician AssistantNV
N E U R O S U R G E R YNV
Physician AssistantNV
Physician AssistantAL
N E U R O S U R G E R YNV

Reviews

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Frequently asked questions

What federal number belongs to MRS. JENNIFER KELLER (APN)?
The federal identifier for MRS. JENNIFER KELLER (APN) is NPI 1508120940.
Is MRS. JENNIFER KELLER (APN) active in the national directory?
MRS. JENNIFER KELLER (APN)'s public NPI profile is in an active state.
What field does MRS. JENNIFER KELLER (APN) work in?
You can think of MRS. JENNIFER KELLER (APN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. JENNIFER KELLER (APN) practice in Nevada?
You will see Reno, Nevada on file for MRS. JENNIFER KELLER (APN) alongside any extra practice locations.
How can I contact MRS. JENNIFER KELLER (APN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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