Individual provider Active NPI

Jana Keeler, PA-C

  • Physician Assistant
  • Powell, WY
National Provider Identifier
1003079302
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
444 Issued in WY
Practice address
450 Mountain View St
Powell, WY 82435-2212
Phone
(307) 754-7257
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powell Valley Healthcare Inc 31 clinicians

Practice addresses (Care Compare)

450 Mountain View
Powell, WY 82435-2212
Phone (307) 754-7257

Hospital & facility affiliations

  • Powell Valley Hospital Hospital, Powell, WY, CCN 531310

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
71.68
Promoting interoperability
100
Improvement activities
40
Cost
70.14

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20080818000098 WY Practitioner - Physician Assistant 4688749211 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Powell Valley Healthcare Inc CurrentSince Jul 1, 2008 Accepting new patients
Powell Valley Health Care Inc CurrentSince Jul 1, 2008 Accepting new patients

Locations

450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267

777 Avenue H
Powell, WY 82435
Phone (307) 754-1175

Interoperability endpoints

  • Direct secure messaging: jkeeler2@powellvalleyhealthcare.cernerdirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 444 WY Primary

Addresses

NPPES NPI Registry

Primary practice location

450 Mountain View St
Powell, WY 82435-2212

Mailing address

450 Mountain View St
Powell, WY 82435-2212
Phone (307) 754-7257

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2008.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1003079302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MOUNTAIN VIEW ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352212",
            "telephone_number": "307-754-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MOUNTAIN VIEW ST",
            "city": "POWELL",
            "state": "WY",
            "postal_code": "824352212",
            "telephone_number": "307-754-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELER",
        "first_name": "JANA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, WY

Sources for this page

Verify at the official NPI Registry.