NICOLE KELLER PA NPI 1669129458

NPI Information

  • NPI: 1669129458
  • Provider Name: NICOLE KELLER, PA
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3440 DECLARATION BLVD
    SUMTER, SC
    ZIP 29154
  • Phone: (803) 905-3278

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NPI Details

Nicole Keller, PA is a physician assistant in Sumter, SC with 5 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Nicole Keller, PA NPI is 1669129458. 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:

3440 DECLARATION BLVD
SUMTER, SC
ZIP 29154-139
Phone: (803) 905-3278
Fax: (803) 905-3282

The NPI 1669129458 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected (HCPCS:0241U)
  • Infusion into a vein for hydration, each additional hour (HCPCS:96361)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • Blood glucose (sugar) measurement using reagent strip (HCPCS:82948)
  • Automated urinalysis test (HCPCS:81003)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, clotting time (HCPCS:85610)
  • Coagulation assessment blood test, plasma or whole blood (HCPCS:85730)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Troponin (protein) analysis, quantitative (HCPCS:84484)
  • Magnesium level (HCPCS:83735)
  • Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
  • Injection of drug or substance into vein (HCPCS:96374)
  • Infusion, normal saline solution, sterile (500 ml = 1 unit) (HCPCS:J7040)
  • Injection, ondansetron hydrochloride, per 1 mg (HCPCS:J2405)
  • Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique (HCPCS:87651)
  • Vitamin d-3 level (HCPCS:82306)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Thyroid hormone, t3 measurement, free (HCPCS:84481)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Infusion into a vein for hydration, 31-60 minutes (HCPCS:96360)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Infusion, normal saline solution , 1000 cc (HCPCS:J7030)
  • Hdl cholesterol level (HCPCS:83718)
  • Ldl cholesterol level (HCPCS:83721)
  • Lipase (fat enzyme) level (HCPCS:83690)
  • Amylase (enzyme) level (HCPCS:82150)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) (HCPCS:87880)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less (HCPCS:96365)
  • Natriuretic peptide (heart and blood vessel protein) level (HCPCS:83880)
  • Administration of vaccine (HCPCS:90471)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Diphtheria and tetanus vaccine (7 years or older) (HCPCS:90714)

The enumeration date for this NPI number is 3/2/2022 and was last updated on 3/2/2022.

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
1363A00000XPhysician AssistantMPA.4324SOUTH CAROLINAYes

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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