Gayle Lynette Keller, APRN

Key facts

NPI

1508805391

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

110530 (NE)

Practice address

3307 Barada St
Falls City, NE 68355-2470

Phone

(402) 245-4475

Fax

(402) 245-6651

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Community Medical Center, Inc. Critical Access Hospital · Falls City, NE · NPI 1881643484
  Medicare reassignment Care Compare group NPD NE
• Community Medical Center, Inc Family Medicine Physician · Falls City, NE · NPI 1194767285
  Care Compare group NPD
• Community Medical Center, Inc. Medicare Defined Swing Bed Hospital Unit · Falls City, NE · NPI 1669429635
  Care Compare group NPD (past)
• Community Medical Center, Inc Family Medicine Physician · Humboldt, NE · NPI 1851348544
  Care Compare group
• Blue Valley Behavioral Health Inc Community/Behavioral Health Agency · Beatrice, NE · NPI 1316019508
  NPD (past)
• Crete Area Medical Center Family Medicine Physician · Crete, NE · NPI 1245281138
  NPD (past)
• Nebraska Heart Institute PC Cardiovascular Disease Physician · Lincoln, NE · NPI 1336125202
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Medical Center, Inc. Critical Access Hospital · Falls City, NE · NPI 1881643484
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Medical Center Inc (11 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Medical Center, Inc Hospital · Falls City, NE · CCN 281352

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gayle.keller.p2@direct.cmcfc.nextgenshare.com
• Direct secure messaging: gayle.keller.p1@direct.cmcfc.nextgenshare.com

Specialties & licenses

Addresses

Other identifiers

Other names

• Gayle Lynette Christy Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 29, 2011.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1508805391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 BARADA ST",
            "address_2": "PO BOX 399",
            "city": "FALLS CITY",
            "state": "NE",
            "postal_code": "683552470",
            "telephone_number": "402-245-4475",
            "fax_number": "402-245-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 BARADA ST",
            "city": "FALLS CITY",
            "state": "NE",
            "postal_code": "683552470",
            "telephone_number": "402-245-4475",
            "fax_number": "402-245-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "GAYLE",
        "middle_name": "LYNETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47052851510",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47386",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "CHRISTY",
            "middle_name": "LYNETTE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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