Julie Ann Keller, PA-C
Individual provider Active NPI Physician Assistant · Harvey, ND
NPI 1114095064 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114095064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PAC0112 (ND)
- Practice address
- 922 Lincoln Ave
Harvey, ND 58341-1524 - Phone
- (701) 324-4856
- Fax
- (701) 324-4858
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Dakota Family Physicians PC
Practice addresses (Care Compare)
922 Lincoln Ave
Harvey, ND 58341-1524
Phone (701) 324-4856
Hospital & facility affiliations
- CHI Health at Home - HHA
- SMP Health St Aloisius
- Trinity Hospitals
- CHI St Alexius Health
- SMP Health St Aloisius
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.79 of 100
- Quality
- 0
- Promoting interoperability
- 78
- Improvement activities
- 40
- Cost
- 84.3
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110104001330 | ND | Practitioner - Physician Assistant | 2769671940 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAC0112 | ND | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Aloisius Hospital Inc | Current |
Accepting new patients |
Locations
325 Brewster St E
Harvey, ND 58341
Phone (701) 324-4651
Interoperability endpoints
- juliekellerfnp@stamc.securechart.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAC0112 | ND | Yes |
Addresses
Primary practice location
922 Lincoln Ave
Harvey, ND 58341-1524
Mailing address
922 Lincoln Ave
Harvey, ND 58341-1524
Phone (701) 324-4856
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12048 | Other | BLUE CROSS BLUE SHIELD | |
| 10310 | Medicaid | ND |
Other providers in Harvey, ND
- Harvey Clinic, PC
- Harvey Dental Clinic PC
- Hav-It Services
- Hav-It Services
- Hav-It Services
- Susan Kost
- Steven Charles Kourajian
- Alan R Lindemann
- Lonetree Special Education Unit
- James Loupee
All providers in Harvey, ND · Physician Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.