Active NPI
Alicia Keeler, CNP
- Family Nurse Practitioner
- Blaine, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4920
- Practice address
- 10961 Club West Pkwy
Blaine, MN 55449-5866 - Phone
- (635) 282-9877
- Fax
- (763) 528-2968
- NPI assigned
- Feb 23, 2012
- 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 | A-104707 | IA | |
| Family Nurse Practitioner | 363LF0000X | 4920 | MN | Primary |
Addresses
Primary practice location
10961 Club West Pkwy
Blaine, MN 55449-5866
Mailing address
1700 University Ave W
Saint Paul, MN 55104-3727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1440 Duckwood Dr
Eagan, MN 55122-1451
Phone (651) 406-8860
14500 99TH Ave N
Suite 100
Maple Grove, MN 55369-4738
Phone (763) 898-1000
1700 University Ave W
Saint Paul, MN 55104-3727
Phone (952) 914-1732
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone (651) 982-7000
7700 Grand Ave
Duluth, MN 55807-2154
Phone (718) 705-6010
911 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
919 Northland Dr
Princeton, MN 55371-2172
Phone (763) 389-3344
Hospital & facility affiliations
- Fairview Lakes Health Services
- M Health Fairview University of MN Medical Center
- M Health Fairview St John'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A-104707 | IA | MD | Family Nurse Practitioner |
| 4920 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Clinics | Current | Accepting new patients | |
| Integrated Wound Care Minnesota PLLC | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Clinics | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Clinics | Past | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
7700 Grand Ave
Duluth, MN 55807
Phone (218) 628-2341
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203
10961 Club West Pkwy
Minneapolis, MN 55449
Phone (763) 572-5700
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740
492C Cedar Ln
Teaneck, NJ 07666
Phone (201) 357-5468
Interoperability endpoints
- akeeler391401@fairview.direct-ci.com
Organizations & group practices 14
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.
-
- Primary Care Clinic/Center
- Minneapolis, MN
- NPI 1346432218
-
- General Practice Physician
- Delano, MN
- NPI 1205390457
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1811077175
-
- Primary Care Clinic/Center
- Saint Paul, MN
- NPI 1396552147
-
- Primary Care Clinic/Center
- Prior Lake, MN
- NPI 1568654341
-
- Multi-Specialty Clinic/Center
- Blaine, MN
- NPI 1972784205
-
- General Practice Physician
- Edina, MN
- NPI 1831707207
-
- Family Medicine Physician
- Princeton, MN
- NPI 1841673647
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Land Ambulance
- Saint Paul, MN
- NPI 1710212485
-
- General Acute Care Hospital
- Princeton, MN
- NPI 1922085299
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1316008212
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1598039463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 UNIVERSITY AVE W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551043727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10961 CLUB WEST PKWY",
"city": "BLAINE",
"state": "MN",
"postal_code": "554495866",
"telephone_number": "635-282-9877",
"fax_number": "763-528-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELER",
"first_name": "ALICIA",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A-104707",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "4920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.