Joanne M Keller, ARNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

3371562 Issued in FL

Practice address

3643 Lake Center Dr
Mount Dora, FL 32757-2364

Phone

(352) 385-2631

Fax

(352) 385-2639

NPI assigned

Apr 17, 2006

Last updated

Aug 20, 2010By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2018 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DACACA

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.

• Joanne M Keller Arnp Womens Health & Wellness Practice PA

  • Family Nurse Practitioner
  • Mount Dora, FL
  • NPI 1598941155
  Authorized official Same address or phone
• Orlando Physician Specialists LLC

  dba Clermont Cancer Center - Radiation Oncology

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1497196083
  NPD (past)
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)
• West Brookfield Family Practice

  • Family Medicine Physician
  • West Brookfield, MA
  • NPI 1205032463
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1306800131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3643 LAKE CENTER DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572364",
            "telephone_number": "352-385-2631",
            "fax_number": "352-385-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 LAKE CENTER DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572364",
            "telephone_number": "352-385-2631",
            "fax_number": "352-385-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JOANNE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "3371562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Y0232Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304050000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Blackwell, LCSW - Life Services
• Kathryn Johnson
• Kellie Lynne Keene
• Peggy A Keene, RN, MA, LMHC
• Kelti Keister, M.A., BCBA, LBA
• Zerleene Kellum
• Cameron Ryan Kelly, DC
• Whitney Robin Kelly, DC
• Ginamarie Kenney
• Akash Kesari

• Women's Health Nurse Practitioner in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.