MICHELLE RENAE-PIPPEL KELLER PA-C
NPI 1154763050
Physician Assistant - Surgical in Corvallis, OR

Q: What is Michelle Keller's NPI number?

The NPI number for Michelle Keller is 1154763050. It was assigned to this individual provider in the NPPES registry on July 22, 2013. The provider is also known as Michelle Renae-Pippel Johnston Pa-C.

Q: What is Michelle Keller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Keller was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 July 22, 2013PECOS EnrolledAccepts Medicare Assignment

98.71/100

CMS Quality Rating

3615 NW SAMARITAN DR, SUITE 210, CORVALLIS, OR 97330(541) 768-4501 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2021, Feb 15, 2016 (2 updates tracked since 2016).

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About Michelle Renae-pippel Keller Pa-c NPPES

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

MICHELLE RENAE-PIPPEL KELLER PA-C (NPI 1154763050) is an individual surgical provider in Corvallis, Oregon, licensed in Oregon (PA173678) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1154763050

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMICHELLE RENAE-PIPPEL KELLERCredential: PA-C

Location Address3615 NW SAMARITAN DR, SUITE 210Corvallis, OR 97330-3783

Mailing AddressPo Box 1189Corvallis, OR 97339-1189

Phone(541) 768-4501

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 22, 2013

Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2021

✔ NPI 1154763050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in OR · PA173678

3615 NW SAMARITAN DR, Corvallis, OR 97330

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Other Names 1

Former Name (1)Michelle Renae-pippel Johnston Pa-c

Other Identifiers 2

Other206147IL · Medicare Ptan (group)

OtherF400173350IL · Medicare Ptan (individual)

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

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

Michelle Renae-pippel Keller Pa-c 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 ID3577790500

PECOS Enrollment IDI20150930000914

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 2

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.

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.

42 services34 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380014

Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County

Emergency services Birthing friendly

Samaritan Albany General Hospital

Acute Care Hospitals · Albany, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380022

Location1046 6th Avenue SWAlbany, OR 97321 · Linn County

Emergency services Birthing friendly

Samaritan North Lincoln Hospital

Critical Access Hospitals · Lincoln City, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381302

Location3043 NE 28th StreetLincoln City, OR 97367 · Lincoln County

Emergency services Birthing friendly

Samaritan Pacific Community Hospital

Critical Access Hospitals · Newport, OR

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number381314

Location930 SW Abbey StreetNewport, OR 97365 · Lincoln County

Emergency services Birthing friendly

Samaritan Lebanon Community Hospital

Critical Access Hospitals · Lebanon, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number381323

Location525 N Santiam HighwayLebanon, OR 97355 · Linn County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.18

Promoting Interoperability

100

Improvement Activities

Cost

91.87

Other Providers at the Same Location NPPES 10

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

POOJITHA REDDY BERAVOL M.D.

Internal Medicine (Nephrology)

3615 NW SAMARITAN DR, SUITE 203
CORVALLIS, OR 97330

Benton County (541) 768-6930

DR. ROBERT M. BURTON M.D.

Internal Medicine

3615 NW SAMARITAN DR, SUITE 100
CORVALLIS, OR 97330

Benton County (541) 768-5140

MR. JURANDIR B DE MENEZES JR. PA-C

Physician Assistant

3615 NW SAMARITAN DR, STE 201
CORVALLIS, OR 97330

Benton County (541) 768-5930

DR. FRANK CLIFFORD ROBERSON M.D.

Neurological Surgery

3615 NW SAMARITAN DR, SUITE 210
CORVALLIS, OR 97330

Benton County (541) 768-5210

DR. TOSHIO NAGAMOTO M.D.

Surgery

3615 NW SAMARITAN DR, SUITE 201
CORVALLIS, OR 97330

Benton County (541) 768-5930

DR. STEVEN K. GOODWIN M.D.

Neurological Surgery

3615 NW SAMARITAN DR, SUITE 211
CORVALLIS, OR 97330

Benton County (541) 768-4501

MR. SCOTT J. BARLOW PA-C

Physician Assistant

3615 NW SAMARITAN DR, SUITE 201
CORVALLIS, OR 97330

Benton County (541) 768-5930

IDA B. SKINNER RNFA

Clinical Nurse Specialist (Perioperative)

3615 NW SAMARITAN DR, SUITE 201
CORVALLIS, OR 97330

Benton County (541) 768-5930

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 Michelle Keller's NPI number?

The NPI number for Michelle Keller is 1154763050. It was assigned to this individual provider in the NPPES registry on July 22, 2013. The provider is also known as Michelle Renae-Pippel Johnston Pa-C.

Where is Michelle Keller located?

Michelle Keller practices at 3615 NW Samaritan Dr Suite 210, Corvallis, OR 97330. The listed phone number is (541) 768-4501.

What is Michelle Keller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michelle Keller enrolled in Medicare?

Yes. Michelle 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.

What insurance does Michelle Keller accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Michelle Keller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle Keller affiliated with any hospitals?

According to CMS data, Michelle Keller is affiliated with Good Samaritan Regional Medical Center, Samaritan Albany General Hospital, Samaritan North Lincoln Hospital, Samaritan Pacific Community Hospital and Samaritan Lebanon Community Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Keller was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.