Michael Mason Keller, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CP003779 Issued in SD

Practice address

1401 10TH Ave W
Mobridge, SD 57601-1106

Phone

(605) 845-3692

NPI assigned

Aug 20, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mason Keller Other name

Medicare fee-for-service enrollment

Enrolled in SD

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Group practices

Mobridge Regional HospitalGroup PAC ID 6507776135, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mobridge Regional Hospital - Cah Hospital, Mobridge, SD, CCN 431325

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/95143858-4077-4cf1-b5d2-c2a999f62bb3/

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.

• Mobridge Regional Hospital

  • Critical Access Hospital
  • Mobridge, SD
  • NPI 1871554311
  Medicare reassignment Care Compare group NPD
• Mobridge Regional Hospital

  • Rural Health Clinic/Center
  • Selby, SD
  • NPI 1093335333
  NPD
• Mobridge Regional Hospital

  • Rural Health Clinic/Center
  • Mobridge, SD
  • NPI 1275502577
  NPD
• Mobridge Regional Hospital

  • Critical Access Hospital
  • Mobridge, SD
  • NPI 1902948896
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mobridge Regional Hospital

  • Critical Access Hospital
  • Mobridge, SD
  • NPI 1871554311
  Care Compare affiliation
• Mobridge Regional Hospital

  • Critical Access Hospital
  • Mobridge, SD
  • NPI 1902948896
  Care Compare affiliation

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1962389916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 10TH AVE W",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011106",
            "telephone_number": "605-848-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 10TH AVE W",
            "city": "MOBRIDGE",
            "state": "SD",
            "postal_code": "576011106",
            "telephone_number": "605-845-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MICHAEL",
        "middle_name": "MASON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP003779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MASON",
            "last_name": "KELLER",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Malissa Holm, COTA
• Celeste Anne Karzon
• Keller and Wolf Chiropractic Clinic LLC
• Keller Chiropractic Clinic, PC
• Michael Alan Keller, D.C.
• Jennifer Lynn Landon, COTA/L01
• Faith Antoinette Laroche, NAACT
• Jenny Marie Larson, LPC
• Holly V Lashmet, CRNA
• Janet Marie Lassen, LCSW

• Family Nurse Practitioner in Mobridge, SD
• Providers in Mobridge, SD by specialty
• Family Nurse Practitioner in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.