Active NPI
Adam D. Keller
- Psychiatric/Mental Health Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1356729453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP-02974
- Practice address
- 500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312 - Phone
- (833) 351-8255
- Fax
- (888) 815-3583
- NPI assigned
- May 11, 2015
- Last updated
- Sep 4, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP-02974 | NM | Primary |
Addresses
Primary practice location
500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
Mailing address
104 Wentworth Dr
Enterprise, AL 36330-4152
Phone (859) 779-1511
Other practice location 1
109 W 27th St
New York, NY 10001-0265
Phone (833) 351-8255
Other practice location 2
4435 E Chandler Blvd Ste 200
Phoenix, AZ 85048-7651
Phone (833) 351-8255
Other practice location 3
9805 Double R Blvd Ste 300
Reno, NV 89521-4827
Phone (833) 351-8255
Medicare participation
Medicare enrollment files- 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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
New York, NY 10087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-02974 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1356729453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 WENTWORTH DR",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363304152",
"telephone_number": "859-779-1511",
"fax_number": "833-351-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MARQUETTE AVE NW STE 1200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871025312",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583"
}
],
"practiceLocations": [
{
"address_1": "109 W 27th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100010265",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4435 E Chandler Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850487651",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9805 Double R Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895214827",
"country_code": "US",
"telephone_number": "833-351-8255",
"fax_number": "888-815-3583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLER",
"first_name": "ADAM",
"middle_name": "D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "CNP-02974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.