Individual provider Active NPI

Kristen Jo Keller, DNP, ACNP-BC

  • Adult Health Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1619319753
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP5063 Issued in AZ
Practice address
485 S Dobson Rd Ste 201
Chandler, AZ 85224
Phone
(480) 728-4700
Fax
(480) 728-4747
NPI assigned
Jul 17, 2013
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP5063 AZ
Adult Health Nurse Practitioner 363LA2200X AP5063 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP5063 AZ

Addresses

Primary practice location

485 S Dobson Rd Ste 201
Chandler, AZ 85224

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

3477 S Mercy Rd Ste 208
Gilbert, AZ 85297-0448
Phone (480) 728-6880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130906000320 AZ Practitioner - Nurse Practitioner 3274776471 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chandler Regional Medical CenterGroup PAC ID 5395729784, 52 clinicians

Practice addresses (Care Compare)

1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 728-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP5063AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Aug 14, 2013 Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Jul 27, 2015 Accepting new patients
Honorhealth CurrentSince Jul 14, 2013 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Current Accepting new patients
Honorhealth CurrentSince Jul 14, 2013 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jun 15, 2014 Accepting new patients
Honorhealth Ambulatory CurrentSince Aug 14, 2013 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jun 15, 2014 Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

485 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 728-4700

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

File 56765
Los Angeles, CA 90074

Organizations & group practices 12

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1619319753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 S DOBSON RD STE 201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-728-4700",
            "fax_number": "480-728-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3477 S Mercy Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970448",
            "country_code": "US",
            "telephone_number": "480-728-6880",
            "fax_number": "480-728-6281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KRISTEN",
        "middle_name": "JO",
        "credential": "DNP, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP5063",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP5063",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.