MRS. KONDA KEEBLER NP
NPI 1053802009
Nurse Practitioner - Primary Care in Birmingham, AL
About Mrs. Konda Keebler Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KONDA KEEBLER NP (NPI 1053802009) is an individual primary care provider in Birmingham, Alabama, licensed in Alabama (1-131508) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Konda Keebler Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Konda Keebler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Alabama enrollment
- 456 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Konda Keebler's NPI number?
The NPI number for Konda Keebler is 1053802009. It was assigned to this individual provider in the NPPES registry on May 25, 2018.
Where is Konda Keebler located?
Konda Keebler practices at 7001 Crestwood Blvd/Suite 804, Birmingham, AL 35210. The listed phone number is (205) 518-6421.
What is Konda Keebler's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Konda Keebler enrolled in Medicare?
Yes. Konda Keebler is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Konda Keebler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Konda Keebler reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Konda Keebler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Konda Keebler was last updated on May 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Konda Keebler, NP · NPI 1053802009
Primary Care physician in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since May 25, 2018.
## Identity
- **NPI:** 1053802009 (Entity type: Individual)
- **Enumerated:** May 25, 2018
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 1-131508 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 7001 CRESTWOOD BLVD/SUITE 804, Birmingham, AL 35210
- **Phone:** (205) 518-6421
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health, LLC (NPI 1689158487, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 25, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1053802009) · Data from the CMS NPPES public registry.