Individual provider Active NPI

Nastassia Mae Keel, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Hewitt, TX
National Provider Identifier
1417835141
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1213560 Issued in TX
Practice address
729 Sun Valley Blvd Ste a
Hewitt, TX 76643-3535
Phone
(254) 537-6700
NPI assigned
Aug 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1213560 TX Primary

Addresses

Primary practice location

729 Sun Valley Blvd Ste a
Hewitt, TX 76643-3535

Mailing address

729 Sun Valley Blvd Ste a
Hewitt, TX 76643-3535
Phone (254) 537-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251222002276 TX Practitioner - Nurse Practitioner 2860987328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health AllianceGroup PAC ID 6305731068, 119 clinicians

Practice addresses (Care Compare)

301 Richland W Cir
Providence Internal Medicine Clinic
Waco, TX 76712-7932
Phone (254) 537-6200

729 Sun Valley Blvd
Hewitt, TX 76643-3535
Phone (254) 537-6700

Hospital & facility affiliations

  • Ascension Providence Hospital, Waco, TX, CCN 450042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1213560TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Alliance CurrentSince Oct 20, 2025 Accepting new patients
Providence Health Alliance CurrentSince Oct 20, 2025 Accepting new patients

Locations

729 Sun Valley Blvd
Ste A
Hewitt, TX 76643
Phone (254) 537-6700

729 Sun Valley Blvd
Hewitt, TX 76643

301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200

Organizations & group practices 2

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.

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": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1417835141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUN VALLEY BLVD STE A",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433535",
            "telephone_number": "254-537-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SUN VALLEY BLVD STE A",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433535",
            "telephone_number": "254-537-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEL",
        "first_name": "NASTASSIA",
        "middle_name": "MAE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1213560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewitt, TX

Sources for this page

Verify at the official NPI Registry.