Individual provider Active NPI

Silence Tia Keller, NP

  • Nurse Practitioner
  • Bristow, IN
National Provider Identifier
1922574938
Registry record updated Sep 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008549A Issued in IN
Practice address
26020 State Road 145
Bristow, IN 47515-8865
Phone
(812) 357-2099
Fax
(812) 357-2097
NPI assigned
Oct 17, 2018
Last updated
Sep 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71008549A IN Primary
Family Nurse Practitioner 363LF0000X 71008549A IN

Addresses

Primary practice location

26020 State Road 145
Bristow, IN 47515-8865

Mailing address

PO Box 1028
Jasper, IN 47547-1028
Phone (812) 996-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20181214001441 IN Practitioner - Nurse Practitioner 8123363462 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians
Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, shared by 8 NPIs, 140 clinicians

Practice addresses (Care Compare)

115 S Main St
Ferdinand, IN 47532-9534
Phone (812) 367-1906

26020 State Rd
Suite 145
Bristow, IN 47515-8865
Phone (812) 357-2099

421 Chestnut St
Evansville, IN 47713-1227
Phone (812) 426-6645

679 S State Rd
145 French Lick Family Medicine
French Lick, IN 47432-8328
Phone (812) 936-6400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc CurrentSince Nov 6, 2018 Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Nov 6, 2018 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Jun 5, 2021 Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Jun 5, 2021 Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Nov 6, 2018 Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Past Accepting new patients

Locations

26020 State Road 145
Bristow, IN 47515
Phone (812) 357-2097

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

115 S Main St
Ferdinand, IN 47532
Phone (812) 367-1906

679 S State Road 145
French Lick, IN 47432
Phone (812) 481-7200

600 W 13th St
Ste 100
Jasper, IN 47546
Phone (812) 996-2345

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

Interoperability endpoints

  • Direct secure messaging: skeller@mhhcc.gwaydirect.com
  • Direct secure messaging: skeller226811@direct.deaconess.com

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1922574938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475471028",
            "telephone_number": "812-996-8478",
            "fax_number": "812-996-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26020 STATE ROAD 145",
            "city": "BRISTOW",
            "state": "IN",
            "postal_code": "475158865",
            "telephone_number": "812-357-2099",
            "fax_number": "812-357-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "SILENCE",
        "middle_name": "TIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008549A",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008549A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, IN

Sources for this page

Verify at the official NPI Registry.