STACEY LYNN KELLER (PA-C) – Medical Physician Assistant, NPI 1831441831
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for STACEY LYNN KELLER (PA-C)
168 E MARKET ST
PO BOX 3542
AKRON, OH 443082038
Phone: (330) 996-0347
Fax: (330) 996-0359
Type: Mailing
4466 FULTON DR NW
CANTON, OH 447182864
Phone: (330) 489-1386
Fax: (330) 489-1258
Type: Location
7072 MEARS GATE DR NW
NORTH CANTON, OH 447208850
Phone: (330) 966-1319
Fax: (330) 966-1321
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $617.
Total Amount is formed as General ($617) + Research ($0) + Ownership ($0) = $617.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($118).
Total Amount
$617
General + Research + Ownership
Payments
37
Total payment records
General Amount
$617
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $118 |
| Lilly USA, LLC | $77 |
| Exact Sciences Corporation | $51 |
| ABBVIE INC. | $38 |
| PFIZER INC. | $29 |
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: 2012-11-17
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 |
|---|---|---|---|---|
| I20121117000119 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 140 | 99 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 31 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 31 | 31 | $0 |
Insurance plans in this area (ZIP 44308)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospice/Palliative Care | OH | |
| Family Practice | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Family Practice | OH | |
| Physician Assistant | OH |
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