Jennifer L Keplin, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Belcourt, ND
NPI 1275715682 · NPPES record last updated Feb 20, 2026
Key facts
- NPI
- 1275715682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- R27194 (ND)
- Practice address
- 9775 Bia Road 9 FL 2
Belcourt, ND 58316-2807 - Phone
- (701) 477-0458
- Fax
- (701) 477-0488
- NPI assigned
- Nov 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R27194 | ND | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeri Ann Azure, PHD PLLC | Past | Accepting new patients |
Interoperability endpoints
- jenniferkeplinpllc.jenniferkeplin@133171.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R27194 | ND | Yes |
Addresses
Primary practice location
9775 Bia Road 9 FL 2
Belcourt, ND 58316-2807
Mailing address
PO Box 1149
Belcourt, ND 58316-1149
Phone (701) 477-0458
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1459437 | Medicaid | ND |
Other names
- Jennifer L Thomas
Other providers in Belcourt, ND
- Jessi Nicole Jordan
- Wayne W Kartes
- Sarah J Kaylor
- Angela Ann Keplin
- Clarence Neil Keplin
- Jolene Keplin
- Kevin Alfred Keplin
- Madison Raye Keplin
- Winter Fawn Keplin
- Vinessa Marie Keplinhoule
All providers in Belcourt, ND · Psychiatric/Mental Health Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.