MARY JEAN KELLER RN, NP
NPI 1073678033
Nurse Practitioner - Family in Linthicum Heights, MD

Q: What is Mary Keller's NPI number?

The NPI number for Mary Keller is 1073678033. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Q: What is Mary Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Keller was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 27, 2006

MARY KELLER, 785 ELKRIDGE LANDING SUITE #300, LINTHICUM HEIGHTS, MD 21090(417) 379-7253(844) 464-0583 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2024, Oct 23, 2019, Aug 19, 2019 (3 updates tracked since 2019).

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About Mary Jean Keller Rn, Np NPPES

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

MARY JEAN KELLER RN, NP (NPI 1073678033) is an individual family provider in Linthicum Heights, Maryland, licensed in Missouri (091099) and active in the NPI registry since December 2006. She maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1073678033

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY JEAN KELLERCredential: RN, NP

Location AddressMARY KELLER, 785 ELKRIDGE LANDING SUITE #300Linthicum Heights, MD 21090

Mailing AddressPo Box 4046Springfield, MO 65808-4046 · (417) 269-5712 · Fax (417) 269-7567

Phone(417) 379-7253

Fax(844) 464-0583

Sole ProprietorNo

Enumeration DateDecember 27, 2006

Last NPPES UpdateJune 10, 20243 updates tracked since enumeration

NPPES CertifiedJune 3, 2024

✔ NPI 1073678033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 091099

MARY KELLER, Linthicum Heights, MD 21090

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Secondary Practice Location 1

Location 13525 S National Ave Ste 207Springfield, MO 65807-7315 · Phone (417) 269-9220 · Fax (417) 269-9229

Other Identifiers 4

OtherP00635675MO · Travelers Rr Medicare

Medicaid171101758AR

Medicaid1073678033MO

Other431560263MO · Tricare West

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 Mary Keller's NPI number?

The NPI number for Mary Keller is 1073678033. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Mary Keller located?

Mary Keller practices at Mary Keller 785 Elkridge Landing Suite #300, Linthicum Heights, MD 21090. The listed phone number is (417) 379-7253.

What is Mary Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Keller was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.