Individual provider Active NPI

Amber Keller, FNP

  • Family Nurse Practitioner
  • Sandusky, OH
National Provider Identifier
1922695832
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0028543 Issued in OH
Practice address
1912 Hayes Ave Ste 1E
Sandusky, OH 44870-4736
Phone
(419) 557-5541
NPI assigned
Dec 26, 2020
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0028543 OH Primary
Ambulatory Care Registered Nurse 163WP2201X 434184 OH

Addresses

Primary practice location

1912 Hayes Ave Ste 1E
Sandusky, OH 44870-4736

Mailing address

1912 Hayes Ave Ste 1E
Sandusky, OH 44870-4736
Phone (419) 557-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210719001113 OH Practitioner - Nurse Practitioner 0941602635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fisher-Titus Medical Care LLCGroup PAC ID 6507940566, 82 clinicians
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

368 Milan Ave
Suite D
Norwalk, OH 44857-3106
Phone (419) 663-6464

5420 Milan Rd
Suite C
Sandusky, OH 44870-5846
Phone (419) 557-6490

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
434184OHMDAmbulatory Care Registered Nurse
0028543OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Coast Professional Company, LLC CurrentSince Jun 14, 2021 Accepting new patients
Fisher-Titus Medical Care LLC CurrentSince Oct 1, 2021 Accepting new patients
North Coast Professional Company, LLC CurrentSince Jun 14, 2021 Accepting new patients
Fisher-Titus Medical Center CurrentSince Oct 1, 2021 Accepting new patients

Locations

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

368 Milan Ave
Ste D
Norwalk, OH 44857
Phone (419) 663-6464

1912 Hayes Ave
Sandusky, OH 44870
Phone (419) 609-1460

1912 Hayes Ave
Ste 1E
Sandusky, OH 44870
Phone (419) 557-5541

5420 Milan Rd
Sandusky, OH 44870
Phone (419) 557-5052

5420 Milan Rd
Ste C
Sandusky, OH 44870
Phone (419) 557-6490

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: amber.keller@fpg.medicity.net

Organizations & group practices 4

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 6

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": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1922695832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE STE 1E",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-557-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 HAYES AVE STE 1E",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704736",
            "telephone_number": "419-557-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "AMBER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0028543",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "OH",
            "license": "434184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.