Jennifer Ardell Keller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5023622 Issued in NC

Practice address

571 S Allen Rd
Flat Rock, NC 28731-9447

Phone

(828) 692-6178

Fax

(828) 692-2365

NPI assigned

Mar 1, 2018

Last updated

Sep 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jennifer Ardell De Fazio Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, NC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospice of Henderson County IncGroup PAC ID 4880507466, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hospice of Henderson County Inc

  dba Four Seasons the Care You Trust

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Flat Rock, NC
  • NPI 1275528176
  Medicare reassignment Care Compare group NPD
• Georgia Mountains Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Blue Ridge, GA
  • NPI 1538123666
  Medicare reassignment NPD
• Hospice of Henderson County, Inc.

  dba Four Seasons the Care You Trust

  • Community Based Hospice Care Agency
  • Flat Rock, NC
  • NPI 1275524621
  NPD
• Georgia Mountains Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dahlonega, GA
  • NPI 1285057281
  NPD
• Georgia Mountains Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • La Fayette, GA
  • NPI 1932991791
  NPD
• Center for Neuropsychiatry Outreach Progran

  • Community/Behavioral Health Agency
  • East Point, GA
  • NPI 1003344987
  NPD (past)
• Northside Pediatrics & Adolescent Medicine PC

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1417077884
  NPD (past)
• Verras Pediatrics PC

  • Pediatrics Physician
  • Tucker, GA
  • NPI 1881809937
  NPD (past)

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1932601374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 S ALLEN RD",
            "city": "FLAT ROCK",
            "state": "NC",
            "postal_code": "287319447",
            "telephone_number": "828-692-6178",
            "fax_number": "828-692-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "JENNIFER",
        "middle_name": "ARDELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5023622",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932601374",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkeller@fourseasonscfl.org",
            "affiliation": "N",
            "address_1": "571 S Allen Rd",
            "city": "Flat Rock",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287319447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DE FAZIO",
            "middle_name": "ARDELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Just in Time FCH
• Just in Time FCH LLC
• Fred Samuel Justice
• Dennis Clark Kabasan, MD
• Jeannie Marie Keene, FNP
• Kathryn Marie Keller, FNP
• Don Randall Killian Jr., M.S., LPCA
• Jordan King
• Barbara A Kovaz, PHD
• Lake House Academy

• Family Nurse Practitioner in Flat Rock, NC
• Providers in Flat Rock, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.