Individual provider Active NPI

Suzanne Catherine Keller, N.P.

  • Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1093151565
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95000029 Issued in CA
Practice address
8329 Brimhall Road
Suite 804
Bakersfield, CA 93312
Phone
(661) 431-1555
Fax
(661) 471-2410
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95000029 CA Primary

Addresses

Primary practice location

8329 Brimhall Road
Suite 804
Bakersfield, CA 93312

Mailing address

PO Box 10748
Bakersfield, CA 93389-0748
Phone (661) 431-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151116001884 CA Practitioner - Nurse Practitioner 8820308471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kern Psychiatric Health and Wellness Center IncGroup PAC ID 5193080323, 7 clinicians

Practice addresses (Care Compare)

8329 Brimhall Rd
Suite 804
Bakersfield, CA 93312-4386
Phone (661) 431-1555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Psychiatric Health and Wellness Center Inc CurrentSince Jun 17, 2020 Accepting new patients

Locations

6313 Schirra Ct
Ste 1A
Bakersfield, CA 93313
Phone (661) 368-1292

5201 White Ln
Bakersfield, CA 93309
Phone (661) 398-1800

901 Olive Dr
#B
Bakersfield, CA 93308
Phone (661) 215-7771

8329 Brimhall Rd
Ste 804
Bakersfield, CA 93312
Phone (661) 431-1555

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1093151565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10748",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933890748",
            "telephone_number": "661-431-1555",
            "fax_number": "661-471-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 BRIMHALL ROAD",
            "address_2": "SUITE 804",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93312",
            "telephone_number": "661-431-1555",
            "fax_number": "661-471-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "SUZANNE",
        "middle_name": "CATHERINE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95000029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.