STACY A KELLER NP
NPI 1053493320
Nurse Practitioner - Pediatrics in Indianapolis, IN

Active since October 19, 2006
705 RILEY HOSPITAL DR, ROC 4210, INDIANAPOLIS, IN 46202(317) 944-3774(317) 944-8521 Get Directions Write a Review

NPPES record last updated: October 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacy A Keller Np NPPES

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

STACY A KELLER NP (NPI 1053493320) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (71001660) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1053493320
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTACY A KELLERCredential: NP
Location Address705 RILEY HOSPITAL DR, ROC 4210Indianapolis, IN 46202-5109
Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 274-1201 · Fax (317) 278-9905
Fax(317) 944-8521
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateOctober 14, 2011
NPI 1053493320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in IN · 71001660 Licensed in IN · 28121823
705 RILEY HOSPITAL DR, Indianapolis, IN 46202

Other Identifiers 1

Medicaid200467770IN

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.

Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Keller's NPI number?

The NPI number for Stacy Keller is 1053493320. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Stacy Keller located?

Stacy Keller practices at 705 Riley Hospital Dr Roc 4210, Indianapolis, IN 46202. The listed phone number is (317) 944-3774.

What is Stacy Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Stacy Keller was last updated on October 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.