Individual provider Active NPI

Erin L Keller, NP

  • Family Nurse Practitioner
  • Versailles, OH
National Provider Identifier
1093235111
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRNCNP020925 Issued in OH
Practice address
471 Marker Rd
Versailles, OH 45380-9324
Phone
(937) 526-9834
Fax
(937) 526-9446
NPI assigned
Jun 20, 2017
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71007443A IN
Family Nurse Practitioner 363LF0000X APRNCNP020925 OH Primary

Addresses

Primary practice location

471 Marker Rd
Versailles, OH 45380-9324

Mailing address

507 E Wood St
Versailles, OH 45380-1451
Phone (937) 564-1378

Other practice location 1

1752 W High St
Piqua, OH 45356-9325
Phone (937) 773-3737

Other names 1

  • Erin McKibben Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170921003875 OH Practitioner - Nurse Practitioner 9638442619 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upper Valley Professional CorporationGroup PAC ID 5597658138, 83 clinicians

Practice addresses (Care Compare)

471 Marker Rd
Versailles, OH 45380-9324
Phone (937) 526-9843

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
79.22
Promoting interoperability
100
Improvement activities
40
Cost
82.87

Merit-based Incentive Payment System (MIPS)

Final score
88.89 of 100Reported as group
Quality
83.16
Promoting interoperability
100
Improvement activities
40
Cost
79.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007443AINMDFamily Nurse Practitioner
APRNCNP020925OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Health Urgent Care, Inc. CurrentSince Dec 18, 2023 Accepting new patients
Upper Valley Professional Corporation CurrentSince Feb 19, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1130 S Main St
Englewood, OH 45322
Phone (937) 208-6879

8290 Old Troy Pike
Ste 40A
Huber Heights, OH 45424
Phone (937) 208-4100

8 Prestige Plaza Dr
Ste 107
Miamisburg, OH 45342
Phone (937) 208-6871

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

1752 W High St
Piqua, OH 45356
Phone (513) 773-3737

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

471 Marker Rd
Versailles, OH 45380
Phone (937) 526-3004

Organizations & group practices 3

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1093235111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E WOOD ST",
            "city": "VERSAILLES",
            "state": "OH",
            "postal_code": "453801451",
            "telephone_number": "937-564-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 MARKER RD",
            "city": "VERSAILLES",
            "state": "OH",
            "postal_code": "453809324",
            "telephone_number": "937-526-9834",
            "fax_number": "937-526-9446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1752 W High St",
            "address_purpose": "LOCATION",
            "city": "Piqua",
            "state": "OH",
            "postal_code": "453569325",
            "country_code": "US",
            "telephone_number": "937-773-3737",
            "fax_number": "937-773-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ERIN",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007443A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRNCNP020925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "MCKIBBEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Versailles, OH

Sources for this page

Verify at the official NPI Registry.