EDWEANA KATRICE KELLER FNP-C
NPI 1033910989
Nurse Practitioner in Greensboro, NC

Q: What is Edweana Keller's NPI number?

The NPI number for Edweana Keller is 1033910989. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Q: What is Edweana Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Edweana Keller was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2025PECOS Enrolled

2400 W FRIENDLY AVE, GREENSBORO, NC 27403(336) 420-1055 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 18, 2026, Mar 24, 2025 (2 updates tracked since 2025).

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About Edweana Katrice Keller Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWEANA KATRICE KELLER FNP-C (NPI 1033910989) is an individual nurse practitioner in Greensboro, North Carolina, licensed in North Carolina (5021836) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Greensboro, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1033910989

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameEDWEANA KATRICE KELLERCredential: FNP-C

Location Address2400 W FRIENDLY AVEGreensboro, NC 27403-1109

Mailing Address2400 W Friendly AveGreensboro, NC 27403-1109 · (336) 420-1055

Phone(336) 420-1055

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 24, 2025

Last NPPES UpdateMarch 18, 20262 updates tracked since enumeration

NPPES CertifiedMarch 18, 2026

✔ NPI 1033910989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5021836

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5021836 (NC)

2400 W FRIENDLY AVE, Greensboro, NC 27403

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Secondary Practice Location 1

Location 13711 Elmsley St Ste 101Greensboro, NC 27406-7039 · Phone (336) 890-2165 · Fax (336) 890-2166

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edweana Katrice Keller Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315422474

PECOS Enrollment IDI20260326003892

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARAH REBECCA JOHNSON RN, AOCNP, MSN, NP-C

Nurse Practitioner