NPIMap

Individual provider Active NPI

Gregory Lynn Keller, D.O.

  • Psychiatry Physician
  • Clarinda, IA
National Provider Identifier
1649385287
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
3716 Issued in IA
Practice address
220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone
(712) 542-8354
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kansas School of Med (KC/Wich/Sal), 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass County Memorial Hospital 67 clinicians
Clarinda Regional Health Center 46 clinicians

Practice addresses (Care Compare)

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-3250

220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (712) 542-2176

Hospital & facility affiliations

  • Clarinda Regional Health Center Hospital, Clarinda, IA, CCN 161352
  • Cass County Memorial Hospital Hospital, Atlantic, IA, CCN 161376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101206000044 IA Practitioner - Psychiatry 8820285760 Reassigns benefits to 4 organizations
I20260130001362 NE Practitioner - Psychiatry 8820285760 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3114NEMDSocial Worker
3716IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Community Hospital Corporation CurrentSince Mar 1, 2026 Accepting new patients
Clarinda Regional Health Center CurrentSince Jan 1, 2026 Accepting new patients
Memorial Community Hospital Corporation CurrentSince Mar 1, 2026 Accepting new patients
Clarinda Regional Health Center CurrentSince Jan 1, 2026 Accepting new patients

Locations

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

812 N 22nd St
Blair, NE 68008
Phone (402) 426-4611

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 3716 IA Primary
Psychiatry Physician 2084P0800X 3114 NE

Addresses

NPPES NPI Registry

Primary practice location

220 Essie Davison Dr
Clarinda, IA 51632-2915

Mailing address

220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (712) 542-8354

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
3716OtherIALICENSE
3114OtherNELICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2026.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1649385287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ESSIE DAVISON DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322915",
            "telephone_number": "712-542-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ESSIE DAVISON DR",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322915",
            "telephone_number": "712-542-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "GREGORY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "3716",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "3114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3716",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3114",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

Verify at the official NPI Registry.