Individual provider Active NPI

Don Land Keller, CRNA

  • Certified Registered Nurse Anesthetist
  • Montgomery, AL
National Provider Identifier
1487656989
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9226143 Issued in FL
Practice address
648 Park Ave
Montgomery, AL 36106-1837
Phone
(334) 294-9342
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9226143 FL Primary
Certified Registered Nurse Anesthetist 367500000X 1-091032 AL

Addresses

Primary practice location

648 Park Ave
Montgomery, AL 36106-1837

Mailing address

648 Park Ave
Montgomery, AL 36106-1837
Phone (334) 294-9342

Other identifiers 5

IdentifierTypeStateIssuer
G3666OtherFLBLUECROSS BLUESHIELD
306849800MedicaidFL
59177497OtherALBLUECROSS BLUESHIELD
009988575MedicaidAL
P00217034OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060817000624 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830132828 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Anesthesia Associates, PCGroup PAC ID 9537153572, 51 clinicians
Premier Anesthesia of Montgomery PCGroup PAC ID 5799684148, 117 clinicians

Practice addresses (Care Compare)

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 513-1173

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 286-3579

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-091032ALMDCertified Registered Nurse Anesthetist
ARNP9226143FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Montgomery PC Nurse Anesthetist, Certified Registered CurrentSince Feb 14, 2006 Accepting new patients
Vaxinall LLC. Current Accepting new patients
Montgomery Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Anesthesiologists Associated PC CurrentSince Aug 1, 2016 Accepting new patients
Anesthesiologists Associated PC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2016 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2019 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

Interoperability endpoints

  • Direct secure messaging: don.keller@direct.baptistfirst.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1487656989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 PARK AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061837",
            "telephone_number": "334-294-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 PARK AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061837",
            "telephone_number": "334-294-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DON",
        "middle_name": "LAND",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9226143",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-091032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "G3666",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306849800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "59177497",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009988575",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00217034",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.