Active NPI
Danielle Keller
- Family Nurse Practitioner
- Munster, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209023962
- Practice address
- 8135 Calumet Ave
Munster, IN 46321-1701 - Phone
- (219) 513-2000
- Fax
- (219) 513-2001
- NPI assigned
- Jul 2, 2021
- Last updated
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71011448A | IN | |
| Family Nurse Practitioner | 363LF0000X | 209023962 | IL | Primary |
Addresses
Primary practice location
8135 Calumet Ave
Munster, IN 46321-1701
Mailing address
8135 Calumet Ave
Munster, IN 46321-1701
Phone (219) 513-2000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841
500 W Court St
Kankakee, IL 60901-3661
Phone (815) 937-2100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.41 of 100
- Quality
- 86.81
- Improvement activities
- 40
- Cost
- 77.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011448A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Trinity Medical Staffing LLC | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
219 W Chicago Ave
Chicago, IL 60654
Phone (312) 878-1945
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956
500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119
200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201
40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312
Interoperability endpoints
- danielle.keller.1@15486.direct.athenahealth.com
- dkeller244518@uchospital.direct-ci.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Elgin, IL
- NPI 1912283110
-
- Internal Medicine Physician
- Harrisburg, IL
- NPI 1770103426
-
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1548692890
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
-
- Family Medicine Physician
- Algonquin, IL
- NPI 1902182108
-
dba Midwest Express Clinic
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1659952554
-
dba Methodist Northlake Physicians
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1467290809
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1457922205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8135 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211701",
"telephone_number": "219-513-2000",
"fax_number": "219-513-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8135 CALUMET AVE",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211701",
"telephone_number": "219-513-2000",
"fax_number": "219-513-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-02",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011448A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209023962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.