Active NPI
Jennifer E. Keller, APRN
- Family Nurse Practitioner
- Laramie, WY
National Provider Identifier
1639586209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 33665.1808
- Practice address
- 1252 N 22ND St Unit a
Laramie, WY 82072 - Phone
- (307) 745-5364
- NPI assigned
- Jul 16, 2014
- Last updated
- Jan 30, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 336651808 | WY | |
| Family Nurse Practitioner | 363LF0000X | 33665.1808 | WY | Primary |
Addresses
Primary practice location
1252 N 22ND St Unit a
Laramie, WY 82072
Mailing address
205 Corthell Rd
Laramie, WY 82070-4827
Phone (307) 399-7133
Other practice location 1
925 West Birch St
Glenrock, WY 82637
Phone (307) 436-9206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33665.1808 | Other | WY | WYOMING STATE BOARD OF NURSING |
Other names 1
- Jennifer E Luft
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- 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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital of Converse County
Practice addresses (Care Compare)
111 S 5TH St
Douglas, WY 82633-2434
Phone (307) 358-2122
1356 Shiek St
Wheatland, WY 82201-3231
Phone (307) 322-6408
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336651808 | WY | MD | Nurse Practitioner |
| 33665.1808 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of Converse County | Current | Accepting new patients | |
| Memorial Hospital of Converse County | Current | Accepting new patients |
Locations
111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200
201 14th St
Wheatland, WY 82201
Phone (307) 322-3636
Interoperability endpoints
- jkeller@direct.mhccwyo.org
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Douglas, WY
- NPI 1326085408
-
- General Practice Physician
- Douglas, WY
- NPI 1356496491
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Torrington, WY
- NPI 1669410643
-
dba Eden Home Health
- Home Health Agency
- Cheyenne, WY
- NPI 1497428338
-
- Critical Access Hospital
- Douglas, WY
- NPI 1326085408
-
- Critical Access Hospital
- Guernsey, WY
- NPI 1265469506
-
- General Acute Care Hospital
- Scottsbluff, NE
- NPI 1639101199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1639586209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 CORTHELL RD",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820704827",
"telephone_number": "307-399-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1252 N 22ND ST UNIT A",
"city": "LARAMIE",
"state": "WY",
"postal_code": "82072",
"telephone_number": "307-745-5364"
}
],
"practiceLocations": [
{
"address_1": "925 West Birch St",
"address_purpose": "LOCATION",
"city": "Glenrock",
"state": "WY",
"postal_code": "82637",
"country_code": "US",
"telephone_number": "307-436-9206",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLER",
"first_name": "JENNIFER",
"middle_name": "E.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-16",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WY",
"license": "336651808",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WY",
"license": "33665.1808",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WYOMING STATE BOARD OF NURSING",
"identifier": "33665.1808",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "LUFT",
"middle_name": "E",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.