Individual provider Active NPI

Victoria Lynn Keyton, ANP-C

  • Adult Health Nurse Practitioner
  • Dixon, IL
National Provider Identifier
1124008461
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
209008108 Issued in IL
Practice address
800 Division St
Dixon, IL 61021-4107
Phone
(815) 284-3393
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 200550100NP OR
Primary Care Nurse Practitioner 363LP2300X 200550100NP OR
Adult Health Nurse Practitioner 363LA2200X 209008108 IL Primary

Addresses

Primary practice location

800 Division St
Dixon, IL 61021-4107

Mailing address

PO Box 21082
Lansing, MI 48909-1082

Other identifiers 3

IdentifierTypeStateIssuer
4704419902OtherMIMICHIGAN NURSING LICENSE (W/ NP CERTIFICATION)
200550100NPOtherORNP STATE LICENSE
A0705150OtherBOARD CERTIFYING ORGANIZATION: AANP

Other names 1

  • Ms. Tori Keyton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110307000616 IL Practitioner - Nurse Practitioner 4284641523 Reassigns benefits to 1 organization
I20241202001152 MI Practitioner - Nurse Practitioner 4284641523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oregon Health Sciences University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

4830 Central Park Dr
Okemos, MI 48864-2089
Phone (517) 349-3600

800 Division St
Dixon, IL 61021-4107
Phone (815) 284-3393

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209008108ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jun 10, 2025 Accepting new patients
Theoria Medical CurrentSince Nov 4, 2024 Accepting new patients
Westside Medical Consultants, LLC Past Accepting new patients
Post Acute Medical PLLC PastSince Mar 1, 2020 Accepting new patients
Dr. Paula D Kilpatrick Past Accepting new patients
The Radiology Group, P.C. Past Accepting new patients
The Medical Wellness Clinic, LLC Past Accepting new patients
Well Coast Medical Corporation PastSince Jun 1, 2020 Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

4830 Central Park Dr
Okemos, MI 48864
Phone (517) 349-3600

9480 E M 21
Ste 200
Ovid, MI 48866
Phone (989) 834-2228

Organizations & group practices 8

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1124008461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21082",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489091082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 DIVISION ST",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610214107",
            "telephone_number": "815-284-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYTON",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "200550100NP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "200550100NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209008108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN NURSING LICENSE (W/ NP CERTIFICATION)",
            "identifier": "4704419902",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP STATE LICENSE",
            "identifier": "200550100NP",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFYING ORGANIZATION: AANP",
            "identifier": "A0705150",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TORI",
            "last_name": "KEYTON",
            "prefix": "MS.",
            "credential": "ANP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dixon, IL

Sources for this page

Verify at the official NPI Registry.