Traci Lynne Keyster, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209009868 Issued in IL

Practice address

611 W Jefferson St
Shorewood, IL 60404-3772

Phone

(815) 729-1144

NPI assigned

Oct 17, 2012

Last updated

Oct 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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 IL

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf Saint Elizabeth MDL Ctr Hospital, Peru, IL, CCN 140110
• Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
• Osf Saint Paul Medical Center Hospital, Mendota, IL, CCN 141310

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment Care Compare group NPD
• Mendota Community Hospital

  dba OSF Medical Group-Mendota

  • Family Medicine Physician
  • Mendota, IL
  • NPI 1407872997

  Nurse Practitioner

  Medicare reassignment NPD
• Ottawa Regional Hospital & Healthcare Center

  dba OSF Saint Elizabeth Medical Center

  • General Acute Care Hospital
  • Ottawa, IL
  • NPI 1306971080
  Medicare reassignment NPD
• Mendota Community Hospital

  dba OSF Healthcare - Medical Group - Granville

  • Rural Health Clinic/Center
  • Granville, IL
  • NPI 1225877590
  NPD
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Critical Access Hospital
  • Mendota, IL
  • NPI 1962537498
  NPD
• Ottawa Regional Hospital & Healthcare Center

  dba OSF Healthcare - Medical Group (Non-RHC Billing)

  • Family Medicine Physician
  • Marseilles, IL
  • NPI 1558088203
  NPD
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• Ottawa Regional Hospital & Healthcare Center

  dba OSF Saint Elizabeth Medical Center

  • General Acute Care Hospital
  • Peru, IL
  • NPI 1588713440
  NPD (past)
• Richard a. Levy, MD LTD.

  • Pediatric Endocrinology Physician
  • Chicago, IL
  • NPI 1679528681
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Critical Access Hospital
  • Mendota, IL
  • NPI 1609803113
  Care Compare affiliation
• Osf Healthcare System

  dba OSF Saint Clare Medical Center

  • Critical Access Hospital
  • Princeton, IL
  • NPI 1093308439
  Care Compare affiliation
• Ottawa Regional Hospital & Healthcare Center

  dba OSF Saint Elizabeth Medical Center

  • General Acute Care Hospital
  • Peru, IL
  • NPI 1588713440
  Care Compare affiliation

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1255684072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W JEFFERSON ST",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604043772",
            "telephone_number": "815-729-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W JEFFERSON ST",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604043772",
            "telephone_number": "815-729-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYSTER",
        "first_name": "TRACI",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209009868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia V Joubert, CHIROPRACTIC PHYSICI
• Thomas C Kaley, PHARMD
• Jill Marie Kaspar, MPT
• Barbara Kellogg, COTA/L
• Janet Kendall, RPH
• Matthew Reiot Klebenow, O.T.
• Kelsey Margaret Knarr, MA. CFY-SLP
• Colleen Koontz
• Samantha Kothapalli, DMD
• Briana Nicole Kregas, OTR/L

• Family Nurse Practitioner in Shorewood, IL
• Providers in Shorewood, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.