Active NPI
Andy Keller, CRNA
- Certified Registered Nurse Anesthetist
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 716685
- Practice address
- 620 John Paul Jones Cir
Anesthesia Dept
Portsmouth, VA 23708-2197 - Phone
- (757) 953-3300
- NPI assigned
- Jan 31, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 716685 | CA | Primary |
Addresses
Primary practice location
620 John Paul Jones Cir
Anesthesia Dept
Portsmouth, VA 23708-2197
Mailing address
2111 Brennhaven Tral
Chesapeake, VA 23323
Phone (520) 331-7401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Uniformed Services Uhs Fe Hebert School of Med, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 Sentara Cir
Williamsburg, VA 23188-5713
Phone (678) 690-7826
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 716685 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Capital Digestive Care ,LLC | Current | Accepting new patients | |
| Eastern Virginia Anesthesia | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Capital Digestive Care LLC | Current | Accepting new patients | |
| Premier Anesthesia of Virginia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Bayview Physician Services, PC | Current | Accepting new patients | |
| Northstar Anesthesia of Virginia, LLC | Current | Accepting new patients | |
| Capital Digestive Care, LLC | Current | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
208 Carmichael Way
Chesapeake, VA 23322
Phone (757) 892-4265
113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285
3241 Western Branch Blvd
Chesapeake, VA 23321
Phone (757) 686-3500
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6746
111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210
3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321
541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700
3009 Corporate Ln
Ste 220
Suffolk, VA 23434
Phone 7574836100 ext. 208
2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251
2000 Meade Pkwy
Ste 195
Suffolk, VA 23434
5839 Harbour View Blvd
Ste 200
Suffolk, VA 23435
Phone (757) 483-6100
100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826
Interoperability endpoints
- https://b9dda605-4d4e-4319-b477-73b223ba7709.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Woodbridge, VA
- NPI 1255986147
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Chesapeake, VA
- NPI 1508813387
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1992752521
-
- Certified Registered Nurse Anesthetist
- Chesapeake, VA
- NPI 1679117048
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Alexandria, VA
- NPI 1194488791
-
- Gastroenterology Physician
- Chesapeake, VA
- NPI 1225246812
-
- Gastroenterology Physician
- Temple Hills, MD
- NPI 1437997988
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Williamsburg Regional Medical Center
- General Acute Care Hospital
- Williamsburg, VA
- NPI 1619938149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503360000000",
"number": "1578986287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 BRENNHAVEN TRAL",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "23323",
"telephone_number": "520-331-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIR",
"address_2": "ANESTHESIA DEPT",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237082197",
"telephone_number": "757-953-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER",
"first_name": "ANDY",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-31",
"last_updated": "2017-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "716685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; 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.