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SUSAN KELLER
NPI 1104201813
Physician Assistant in Fort Worth, TX

Active since July 23, 2015PECOS EnrolledAccepts Medicare Assignment
6551 HARRIS PKWY STE 250, FORT WORTH, TX 76132(713) 824-1883 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Keller NPPES

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

SUSAN KELLER (NPI 1104201813) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA09894) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104201813
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUSAN KELLER
Location Address6551 HARRIS PKWY STE 250Fort Worth, TX 76132
Mailing Address6551 Harris Pkwy Ste 250Fort Worth, TX 76132-6115 · (713) 824-1883
Phone(713) 824-1883
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 23, 2015
Last NPPES UpdateJanuary 31, 2019
✔ NPI 1104201813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA09894
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6551 HARRIS PKWY STE 250, Fort Worth, TX 76132
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Keller is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294034716
PECOS Enrollment IDI20160801001010
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
260 services260 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
229 services178 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services60 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
64 services15 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
57 services38 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
35 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76132 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

CODY RODRIGUEZ
Nurse Practitioner (Adult Health)
6551 HARRIS PKWY STE 250
FORT WORTH, TX 76132
Tarrant County (817) 263-6116
KRISTINA MAE HOLMQUIST
Nurse Practitioner (Acute Care)
6551 HARRIS PKWY STE 250
FORT WORTH, TX 76132
Tarrant County (817) 263-6116

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 Susan Keller's NPI number?

The NPI number for Susan Keller is 1104201813. It was assigned to this individual provider in the NPPES registry on July 23, 2015.

Where is Susan Keller located?

Susan Keller practices at 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132. The listed phone number is (713) 824-1883.

What is Susan Keller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Susan Keller enrolled in Medicare?

Yes. Susan Keller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Susan Keller was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.