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RYAN PATRICK KELLER CRNP
NPI 1114662343
Nurse Practitioner - Psychiatric/Mental Health in Media, PA

Active since May 02, 2022PECOS Enrolled
300 W BALTIMORE AVE, MEDIA, PA 19063(558) 687-2410 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ryan Patrick Keller Crnp NPPES

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

RYAN PATRICK KELLER CRNP (NPI 1114662343) is an individual psychiatric/mental health provider in Media, Pennsylvania, licensed in Pennsylvania (SP025672) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114662343
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameRYAN PATRICK KELLERCredential: CRNP
Location Address300 W BALTIMORE AVEMedia, PA 19063-3683
Mailing Address300 W Baltimore AveMedia, PA 19063-3683 · (855) 687-2410
Phone(558) 687-2410
Sole ProprietorYes
Enumeration DateMay 2, 2022
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1114662343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP025672
300 W BALTIMORE AVE, Media, PA 19063
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Patrick Keller Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Ryan Keller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prospect Health Access Network, Inc.
1.9 mi
Sports Medicine
196 W SPROUL RD, SUITE 110
Springfield, PA 19064
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
NPI 1528413002 (610) 328-8830

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 19063 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES 11

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

THOMAS FLANNERY CRS
Peer Specialist
300 W BALTIMORE AVE
MEDIA, PA 19063
Delaware County (855) 687-2410
DIAMOND PLESS
Counselor (Addiction (Substance Use Disorder))
300 W BALTIMORE AVE
MEDIA, PA 19063
Delaware County (855) 687-2410
DANIELLE WOLF
Counselor (Addiction (Substance Use Disorder))
300 W BALTIMORE AVE
MEDIA, PA 19063
Delaware County (855) 687-2410
KAYLA TAYLOR
Counselor (Addiction (Substance Use Disorder))
300 W BALTIMORE AVE
MEDIA, PA 19063
Delaware County (855) 687-2410
PHILIP WAIBEL
Counselor (Mental Health)
300 W BALTIMORE AVE
MEDIA, PA 19063
Delaware County (855) 687-2410
MEGAN VOSHESKI BS
Counselor (Addiction (Substance Use Disorder))
300 W BALTIMORE AVE
MEDIA, PA 19063
Delaware County (855) 687-2410
LINDSEY FORMAN CRS
Peer Specialist
300 W BALTIMORE AVE
MEDIA, PA 19063
Delaware County (855) 687-2410
ASHLEY LYLE
Counselor (Addiction (Substance Use Disorder))
300 W BALTIMORE AVE
MEDIA, PA 19063
Delaware County (855) 687-2410

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 Ryan Keller's NPI number?

The NPI number for Ryan Keller is 1114662343. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Ryan Keller located?

Ryan Keller practices at 300 W Baltimore Ave, Media, PA 19063. The listed phone number is (558) 687-2410.

What is Ryan Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ryan Keller enrolled in Medicare?

Yes. Ryan Keller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Keller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Keller reassigns Medicare benefits to Prospect Health Access Network, Inc. (Springfield, PA). 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 Ryan Keller'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 Ryan Keller was last updated on October 24, 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.