MS. COURTNEY ANN KELLER PMHNP NPI 1336307495

NPI Information

NPI: 1336307495
Provider Name: MS. COURTNEY ANN KELLER, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: BANNER PHYSICIAN SPECIALISTS ARIZONA LLC

PECOS Registration: Yes

Address:
9165 W THUNDERBIRD RD SUITE 201
PEORIA, AZ
ZIP 85381
Phone: (623) 876-8420
Get Directions

MS. Courtney Ann Keller, PMHNP is a psychiatric/mental health nurse practitioner in Peoria, AZ with 10 years of experience. MS. Courtney Ann Keller, PMHNP NPI is 1336307495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9165 W THUNDERBIRD RD SUITE 201
PEORIA, AZ
ZIP 85381-847
Phone: (623) 876-8420
Fax: (623) 285-2626

The NPI 1336307495 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 5/27/2008 and was last updated on 10/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP7558	ARIZONA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN173592	ARIZONA	Yes
3	364SP0807X	Clinical Nurse Specialist	Psychiatric/Mental Health, Child & Adolescent	46	NORTH DAKOTA	No
4	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	46	NORTH DAKOTA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	OTHER	NORTH DAKOTA	BCBS ND
2	054517	MEDICAID	NORTH DAKOTA
3	979757	MEDICAID	ARIZONA
4	PENDING	OTHER	NORTH DAKOTA	TRICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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