Individual provider Active NPI

Nicholas Fiske Keeler, AG-ACNP, DNP, RN

  • Acute Care Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1144840786
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95013484 Issued in CA
Practice address
400 Parnassus Ave Ste 5015TH
San Francisco, CA 94143-2202
Phone
(415) 353-9088
Fax
(415) 353-3889
NPI assigned
Apr 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95013484 CA Primary

Addresses

Primary practice location

400 Parnassus Ave Ste 5015TH
San Francisco, CA 94143-2202

Mailing address

400 Parnassus Ave Ste 5015TH
San Francisco, CA 94143-2202
Phone (415) 353-9088

Other practice location 1

1000 Trancas St
Napa, CA 94558-2906
Phone (707) 252-4411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200622001034 CA Practitioner - Nurse Practitioner 6406278431 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95013484CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Jun 30, 2023 Accepting new patients
UCSF Medical Group Business Services Acute Care CurrentSince Jun 30, 2023 Accepting new patients
Regents of the University of California CurrentSince Jun 30, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
Providence Medical Foundation CurrentSince Jun 8, 2020 Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2023 Accepting new patients
University of California San Francisco CurrentSince Jun 30, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jun 8, 2020 Accepting new patients
Regents of the University of California Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1000 Trancas St
Ste 1
Napa, CA 94558
Phone (707) 253-7161

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

400 Parnassus Ave
Ste 5015TH
San Francisco, CA 94143
Phone (415) 353-9088

400 Parnassus Ave
Fl 5
San Francisco, CA 94143
Phone (415) 353-2626

400 Parnassus Ave
Ste 501
San Francisco, CA 94143
Phone (415) 353-9088

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Interoperability endpoints

  • Direct secure messaging: nkeeler300878@direct-ucsfmedicalcenter.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1144840786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE STE 5015TH",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-353-9088",
            "fax_number": "415-353-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PARNASSUS AVE STE 5015TH",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432202",
            "telephone_number": "415-353-9088",
            "fax_number": "415-353-3889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Trancas St",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945582906",
            "country_code": "US",
            "telephone_number": "707-252-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEELER",
        "first_name": "NICHOLAS",
        "middle_name": "FISKE",
        "name_prefix": "Dr.",
        "credential": "AG-ACNP, DNP, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95013484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.