Individual provider Active NPI

Gayle Lynette Keller, APRN

  • Family Nurse Practitioner
  • Falls City, NE
National Provider Identifier
1508805391
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
110530 Issued in NE
Practice address
3307 Barada St
Falls City, NE 68355-2470
Phone
(402) 245-4475
Fax
(402) 245-6651
NPI assigned
Jun 6, 2006
Last updated
Sep 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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 110530 NE Primary

Addresses

Primary practice location

3307 Barada St
Falls City, NE 68355-2470

Mailing address

3307 Barada St
PO Box 399
Falls City, NE 68355-2470
Phone (402) 245-4475

Other names 1

  • Gayle Lynette Christy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20040324000133 NE Practitioner - Nurse Practitioner 8628969094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Center IncGroup PAC ID 6608776943, shared by 4 NPIs, 11 clinicians

Practice addresses (Care Compare)

1120 Grand Ave
Humboldt, NE 68376-6019
Phone (402) 862-3280

3307 Barada St
Falls City, NE 68355-2470
Phone (402) 245-2428

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
000792MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Center, Inc CurrentSince May 1, 2006 Accepting new patients
Community Medical Center, Inc. CurrentSince May 1, 2006 Accepting new patients
Crete Area Medical Center Past Accepting new patients
Blue Valley Behavioral Health Inc PastSince Jul 6, 2011 Accepting new patients
Nebraska Heart Institute PC Past Accepting new patients
Community Medical Center, Inc. Past Accepting new patients

Locations

3307 Bill Schock Blvd
Falls City, NE 68355
Phone (402) 245-2428

1120 Grand Ave
Humboldt, NE 68376
Phone (402) 862-3280

Interoperability endpoints

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

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 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": "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": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GAYLE",
            "last_name": "CHRISTY",
            "middle_name": "LYNETTE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falls City, NE

Sources for this page

Verify at the official NPI Registry.