Active NPI
Luke Keller
- Psychiatry Physician
- Bismarck, ND
National Provider Identifier
1629707831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 24159
- Practice address
- 1800 E Interstate Ave
Bismarck, ND 58503-1399 - Phone
- (701) 323-8800
- Fax
- (701) 323-5492
- NPI assigned
- Jun 6, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 24159 | ND | Primary |
Addresses
Primary practice location
1800 E Interstate Ave
Bismarck, ND 58503-1399
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other practice location 1
2101 Elm St N
Fargo, ND 58102-2417
Phone (701) 232-3241
Other practice location 2
1919 Elm St N
Fargo, ND 58102-2416
Phone (701) 293-4113
Other practice location 3
2605 Circle Dr
Jamestown, ND 58401-6905
Phone (701) 253-3880
Other practice location 4
5225 23rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1629707831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074",
"telephone_number": "605-328-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E INTERSTATE AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585031399",
"telephone_number": "701-323-8800",
"fax_number": "701-323-5492"
}
],
"practiceLocations": [
{
"address_1": "2101 Elm St N",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581022417",
"country_code": "US",
"telephone_number": "701-232-3241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1919 Elm St N",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581022416",
"country_code": "US",
"telephone_number": "701-293-4113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2605 Circle Dr",
"address_purpose": "LOCATION",
"city": "Jamestown",
"state": "ND",
"postal_code": "584016905",
"country_code": "US",
"telephone_number": "701-253-3880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5225 23rd Ave S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581047927",
"country_code": "US",
"telephone_number": "701-417-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLER",
"first_name": "LUKE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-06",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "24159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.