Individual provider Active NPI

Scott David Keller, NP

  • Acute Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1881361889
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1037688 Issued in TX
Practice address
400 W Arbrook Blvd Ste 320
Arlington, TX 76014-3180
Phone
(866) 552-4866
NPI assigned
Aug 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1037688 TX Primary

Addresses

Primary practice location

400 W Arbrook Blvd Ste 320
Arlington, TX 76014-3180

Mailing address

8135 Forest LN # 515057
Dallas, TX 75230-2472

Other practice location 1

2101 Westpark Ct Ste 320
Euless, TX 76040-3733
Phone (866) 552-4866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210921000298 TX Practitioner - Nurse Practitioner 3779980610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Cardio and Renal Therapeutics of North Texas PLLCGroup PAC ID 7810329638, 32 clinicians

Practice addresses (Care Compare)

5830 Collin McKinney Pkwy
Suite 302
McKinney, TX 75070-5109
Phone (214) 272-2774

Merit-based Incentive Payment System (MIPS)

Final score
70.97 of 100Reported as group
Quality
43.69
Promoting interoperability
91
Improvement activities
40
Cost
67.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1037688TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Oct 1, 2021 Accepting new patients
Texas Health Physicians Group CurrentSince Oct 1, 2021 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Cardio & Renal Therapeutics of North Texas PLLC CurrentSince Jun 23, 2024 Accepting new patients

Locations

400 W Arbrook Blvd
Ste 320
Arlington, TX 76014

400 W Arbrook Blvd
Ste 20
Arlington, TX 76014
Phone (817) 467-1990

108 Denver Trl
Azle, TX 76020
Phone (817) 444-8600

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

5830 Collin McKinney Pkwy
Ste 302
McKinney, TX 75070
Phone (212) 272-2774

300 N Highland Ave
Ste 365
Sherman, TX 75092
Phone (516) 721-7069

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1881361889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 FOREST LN # 515057",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ARBROOK BLVD STE 320",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760143180",
            "telephone_number": "866-552-4866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Westpark Ct Ste 320",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760403733",
            "country_code": "US",
            "telephone_number": "866-552-4866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1037688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.