BETH KELLER (FNP-C) – Family Nurse Practitioner, NPI 1750934139

BETH KELLER (FNP-C) is a healthcare provider. based in Torrington, Wyoming. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 44270 (WY). The NPI Number for BETH KELLER (FNP-C) is 1750934139

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
BETH KELLER (FNP-C)
NPI
1750934139
Phone
(307) 269-0947
Address
108 E 20TH AVE
Enumeration Date
24 July 2019
Last Update Date
24 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3078645061
Graduation Year
2019 (7 years ago)
PAC ID
0648603738
Group Practice PAC ID
9234020439
Professional Enrollment ID
I20191203002413
Address ID
WY824432402TH150XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

596 NURSE PRACTITIONER in WY

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Provider Addresses for BETH KELLER (FNP-C)

  • 108, East 20th Avenue, Torrington, Goshen County, Wyoming, 82240, United States

    TORRINGTON, WY 822402812

    Phone: (307) 269-0947

    Type: Location

  • 1315 HOWE RD

    LARAMIE, WY 820706888

    Phone:

    Type: Mailing

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: 2019-12-03

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
I20191203002413INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82240)

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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: 9234020439View full group profile
NameSpecialtyState
Diagnostic RadiologyWY
Family PracticeWY
Physician AssistantWY
U R O L O G YCO
Family PracticeMT
Orthopedic SurgeryCA
Family PracticeWY
Physician AssistantWY
General SurgeryWY
Nurse PractitionerWY

Reviews

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Frequently asked questions

What is BETH KELLER (FNP-C)'s NPI number?
BETH KELLER (FNP-C)'s NPI is 1750934139 — the number used across U.S. healthcare to identify this provider.
Is BETH KELLER (FNP-C) shown as active in public data?
Registry records indicate BETH KELLER (FNP-C) maintains an active NPI.
What clinical focus is listed for BETH KELLER (FNP-C)?
At a glance, BETH KELLER (FNP-C) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is BETH KELLER (FNP-C) located near Torrington?
BETH KELLER (FNP-C) currently maps to Torrington, Wyoming in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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