HEATHER ROSE KEILLOR
NPI 1154067783
Nurse Practitioner - Family in Southfield, MI

Q: What is Heather Keillor's NPI number?

The NPI number for Heather Keillor is 1154067783. It was assigned to this individual provider in the NPPES registry on May 6, 2022.

Q: What is Heather Keillor'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 Heather Keillor was last updated on July 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 06, 2022PECOS Enrolled

30920 SOUTHFIELD RD, SOUTHFIELD, MI 48076(248) 647-7472 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2022, May 6, 2022 (2 updates tracked since 2022).

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About Heather Rose Keillor NPPES

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

HEATHER ROSE KEILLOR (NPI 1154067783) is an individual family provider in Southfield, Michigan, licensed in Michigan (4704344185) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154067783

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER ROSE KEILLOR

Location Address30920 SOUTHFIELD RDSouthfield, MI 48076-7738

Mailing Address30920 Southfield RdSouthfield, MI 48076-7738 · (248) 647-7472

Phone(248) 647-7472

Sole ProprietorYes

Enumeration DateMay 6, 2022

Last NPPES UpdateJuly 1, 20222 updates tracked since enumeration

NPPES CertifiedJuly 1, 2022

✔ NPI 1154067783 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

Licenses✔ Licensed in MI · 4704344185✔ Licensed in MI · 2021159546

30920 SOUTHFIELD RD, Southfield, MI 48076

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Rose Keillor 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 Reassignments

Medicare enrollment records show Heather Keillor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa PC

2.7 mi

Family Medicine

21540 W 11 MILE RD STE 200
Southfield, MI 48076

Reassigned Medicare billing, Michigan enrollment
279 clinicians in this Medicare group

NPI 1245859446 (248) 352-2000

Signify Health Medical Associates, PLLC

995 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Michigan enrollment
666 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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 48076 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

DUNIA ZOMA

Pharmacist