MARY JEAN KELLER RN NP NPI 1073678033

NPI Information

  • NPI: 1073678033
  • Provider Name: MARY JEAN KELLER, RN, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: MARY KELLER
    785 ELKRIDGE LANDING SUITE #300
    LINTHICUM HEIGHTS, MD
    ZIP 21090
  • Phone: (417) 379-7253

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NPI Details

Mary Jean Keller, RN, NP is a family nurse practitioner in Linthicum Heights, MD. Mary Jean Keller, RN, NP NPI is 1073678033. 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:

MARY KELLER
785 ELKRIDGE LANDING SUITE #300
LINTHICUM HEIGHTS, MD
ZIP 21090
Phone: (417) 379-7253
Fax: (844) 464-0583

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.

  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)

The enumeration date for this NPI number is 12/27/2006 and was last updated on 6/10/2024.

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
1363LF0000XNurse PractitionerFamily091099MISSOURIYes

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
1P00635675OTHERMISSOURITRAVELERS RR MEDICARE
2171101758MEDICAIDARKANSAS
31073678033MEDICAIDMISSOURI
4431560263OTHERMISSOURITRICARE WEST

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: 11/21/2025

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