Individual provider Active NPI

Jennifer Anne Keller, DPM

  • Podiatrist
  • Roanoke, VA
National Provider Identifier
1144290784
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103300725 Issued in VA
Practice address
60 Summerfield CT
Suite 102
Roanoke, VA 24019-4579
Phone
(540) 904-1458
Fax
(855) 495-0994
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103300725 VA Primary

Addresses

Primary practice location

60 Summerfield CT
Suite 102
Roanoke, VA 24019-4579

Mailing address

60 Summerfield CT
Suite 102
Roanoke, VA 24019-4579
Phone (540) 904-1458

Other identifiers 2

IdentifierTypeStateIssuer
009304291MedicaidVA
480032174OtherVARAILROAD MEDICARE

Other names 1

  • Jennifer Keller Feeny Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051103000083 VA Practitioner - Podiatry 9638135775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

60 Summerfield CT
Suite 102
Roanoke, VA 24019-4579
Phone (540) 904-1458

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue28
Removal of skin lesions1-10
Removal of nail tissue466
Removal or shaving of skin growth149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jan 1, 2024 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jan 1, 2024 Accepting new patients
Shenandoah Valley Podiatry Podiatrist CurrentSince Jul 16, 2001 Accepting new patients
Blue Ridge Podiatry Associates Podiatrist Past Accepting new patients
Lenord S Horwitz Past Accepting new patients
Lenord S Horwitz Podiatrist Past Accepting new patients

Locations

66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150

60 Summerfield Ct
#102
Roanoke, VA 24019
Phone (540) 904-1458

60 Summerfield Ct
Ste 102
Roanoke, VA 24019
Phone (540) 904-1458

Interoperability endpoints

  • Direct secure messaging: jkeller@usfas.emadirect.md

Organizations & group practices 6

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1144290784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SUMMERFIELD CT",
            "address_2": "SUITE 102",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194579",
            "telephone_number": "540-904-1458",
            "fax_number": "855-495-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 SUMMERFIELD CT",
            "address_2": "SUITE 102",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194579",
            "telephone_number": "540-904-1458",
            "fax_number": "855-495-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009304291",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480032174",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FEENY",
            "middle_name": "KELLER",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.