Active NPI
Shana S Keller, APRN
- Family Nurse Practitioner
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3227
- Practice address
- 1325 Spring St
Greenwood, SC 29646-3860 - Phone
- (864) 725-5722
- Fax
- (864) 725-4707
- NPI assigned
- Jun 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3227 | SC | Primary |
Addresses
Primary practice location
1325 Spring St
Greenwood, SC 29646-3860
Mailing address
160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090
Other practice location 1
160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skeller188471@selfregional.direct-ci.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070911000962 | SC | Practitioner - Nurse Practitioner | 0547353237 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Self Medical Group
Practice addresses (Care Compare)
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4398
Hospital & facility affiliations
- Self Regional Healthcare
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3227 | SC | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Regional Healthcare Partners | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Regional Healthcare Partners | Current | Accepting new patients | |
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Regional Healthcare Partners | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Past | Accepting new patients | |
| Piedmont Health Group LLC | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
905 W Greenwood St
Abbeville, SC 29620
Phone (864) 223-8090
300 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3174
155 Ridge Medical Plaza Rd
Edgefield, SC 29824
Phone (803) 637-3146
160 Academy Ave
Greenwood, SC 29646
Phone (864) 223-7809
105 Vinecrest Ct
#1000
Greenwood, SC 29646
Phone (864) 227-5240
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
102 Rockcreek Blvd
Greenwood, SC 29649
Phone (864) 725-5020
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- Rural Health Clinic/Center
- Saluda, SC
- NPI 1184219214
-
- Neurological Surgery Physician
- Greenwood, SC
- NPI 1902277270
-
- Surgery Physician
- Greenwood, SC
- NPI 1457685570
-
- Urgent Care Clinic/Center
- Greenwood, SC
- NPI 1053110312
-
- Family Medicine Physician
- Edgefield, SC
- NPI 1053929208
-
- Community/Retail Pharmacy
- Edgefield, SC
- NPI 1073486494
-
- Family Medicine Physician
- Greenwood, SC
- NPI 1275597585
-
- Gastroenterology Physician
- Greenwood, SC
- NPI 1841047560
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1841493541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 ACADEMY AVE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463808",
"telephone_number": "864-223-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SPRING ST",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296463860",
"telephone_number": "864-725-5722",
"fax_number": "864-725-4707"
}
],
"practiceLocations": [
{
"address_1": "160 Academy Ave",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296463808",
"country_code": "US",
"telephone_number": "864-223-8090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLER",
"first_name": "SHANA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "3227",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skeller188471@selfregional.direct-ci.net",
"affiliation": "N",
"address_1": "1325 Spring St",
"city": "Greenwood",
"state": "SC",
"country_code": "US",
"postal_code": "296463860",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.