Antonio McKeller, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

MCKE-LH9LWU Issued in NC

Practice address

127 Orvis Dr
Holly Springs, NC 27540-9681

Phone

(919) 584-2255

NPI assigned

Mar 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, VA, CO, TN4 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 4

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CO, NC, Nurse Practitioner, TN

  Medicare reassignment NPD
• Motivational Practitioner LLC

  • Nurse Practitioner
  • Holly Springs, NC
  • NPI 1720703051
  NPD Authorized official
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  VA

  Medicare reassignment

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1144815564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ORVIS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ORVIS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409681",
            "telephone_number": "919-584-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKELLER",
        "first_name": "ANTONIO",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "MCKE-LH9LWU",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maya McNeilly PA, PH.D.
• Darcey O'Steen McClam, OMT
• Vicky L McGee, LPA
• Katharine Anne McGrail, PHARMD
• Leigh McKay, LCMHCA
• Todd Michael McKeon, PHARMD
• Spencer Margaret McKeveny, MSW, LCSWA
• Monica Lashonda McLaughlin, FNP
• Virginia Ann McLean, CPNP
• Sally McMurry, B-K, ITFS

• Nurse Practitioner in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.