Individual provider Active NPI

Shana S Keller, APRN

  • Family Nurse Practitioner
  • Greenwood, SC
National Provider Identifier
1841493541
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3227 Issued in SC
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

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 393 clinicians

Practice addresses (Care Compare)

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4398

Hospital & facility affiliations

  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3227SCMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Self Regional Healthcare Partners Current Accepting new patients
Self Medical Group Current Accepting new patients
Self Regional Healthcare Partners CurrentSince Mar 15, 2024 Accepting new patients
Self Regional Healthcare CurrentSince Feb 2, 2026 Accepting new patients
Self Regional Healthcare Partners CurrentSince Mar 15, 2024 Accepting new patients
Self Medical Group CurrentSince Feb 3, 2018 Accepting new patients
Self Medical Group CurrentSince Feb 3, 2018 Accepting new patients
Self Medical Group PastSince May 7, 2024 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.