Active NPI
Jill D. Ann Keser, NP
- Family Nurse Practitioner
- Terre Haute, IN
National Provider Identifier
1902363815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71008762A
- Practice address
- 670 E Margaret Dr
Terre Haute, IN 47802-3950 - Phone
- (866) 389-2727
- NPI assigned
- Feb 27, 2019
- Last updated
- Jul 15, 2020
- 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 | 71008762A | IN | Primary |
Addresses
Primary practice location
670 E Margaret Dr
Terre Haute, IN 47802-3950
Mailing address
670 E Margaret Dr
Terre Haute, IN 47802-3950
Phone (812) 232-1410
Other practice location 1
1788 State Road 163
Clinton, IN 47842
Phone (765) 592-3399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71008762A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Field & Forest Medical, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1902363815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 E MARGARET DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023950",
"telephone_number": "812-232-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 E MARGARET DR",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478023950",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "1788 State Road 163",
"address_purpose": "LOCATION",
"city": "Clinton",
"state": "IN",
"postal_code": "47842",
"country_code": "US",
"telephone_number": "765-592-3399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KESER",
"first_name": "JILL",
"middle_name": "D. ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71008762A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.