JENNIFER E. KELLER (APRN) – Family Nurse Practitioner, NPI 1639586209

JENNIFER E. KELLER (APRN) is a healthcare provider. based in Laramie, Wyoming. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 336651808 (WY). The NPI Number for JENNIFER E. KELLER (APRN) is 1639586209

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER E. KELLER (APRN)
NPI
1639586209
Phone
(307) 399-7133
Address
205 CORTHELL RD
Enumeration Date
16 July 2014
Last Update Date
30 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073226408
Graduation Year
2018 (8 years ago)
PAC ID
4981944923
Group Practice PAC ID
2264340843
Professional Enrollment ID
I20190328003023
Address ID
WY822013231WH1356XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

596 NURSE PRACTITIONER in WY

Provider Addresses for JENNIFER E. KELLER (APRN)

  • 205 CORTHELL RD

    LARAMIE, WY 820704827

    Phone: (307) 399-7133

    Type: Mailing

  • 925 West Birch St

    Glenrock, WY 82637

    Phone: (307) 436-9206

    Type: Location

  • 1252 N 22ND ST UNIT A

    LARAMIE, WY 82072

    Phone: (307) 745-5364

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Lilly USA, LLC ($46).

Total Amount

$115

General + Research + Ownership

Payments

7

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

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: 2019-03-28

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
I20190328003023INurse PractitionerWYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes256152$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg21218$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg9621$0
96372Injection of drug or substance under skin or into muscle9326$0
83036Hemoglobin a1c level5827$0
View full utilization report →

Insurance plans in this area (ZIP 82070)

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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: 2264340843View full group profile
NameSpecialtyState
Diagnostic Radiology, Nuclear MedicineNJ
Nurse PractitionerWY
Certified Registered Nurse Anesthetist (Crna)WY
Family PracticeMO
Emergency MedicineOR
A N E S T H E S I O L O G YWY
-CA
Hand Surgery, Orthopedic SurgeryWY
O B S T E T R I C S/ G Y N E C O L O G YNY
-WY

Reviews

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Frequently asked questions

Can I cross-check JENNIFER E. KELLER (APRN) using NPI 1639586209?
NPI 1639586209 belongs to JENNIFER E. KELLER (APRN); compare other details if you need extra assurance.
Active or inactive — what applies to JENNIFER E. KELLER (APRN)?
You should see JENNIFER E. KELLER (APRN) as active in CMS-hosted NPPES data.
How would a patient describe JENNIFER E. KELLER (APRN)'s focus?
For JENNIFER E. KELLER (APRN), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JENNIFER E. KELLER (APRN) associated with Laramie?
Public fields place JENNIFER E. KELLER (APRN) around Laramie, Wyoming. Always confirm the exact site before visiting.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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