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ELIZABETH KAY KELLER MSN, NP-C
NPI 1164955639
Nurse Practitioner - Family in San Luis Obispo, CA

Active since April 11, 2017PECOS Enrolled
76.74/100
CMS Quality Rating
1485 KANSAS AVE, SAN LUIS OBISPO, CA 93405(805) 754-2037(805) 357-6509 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2024, Apr 11, 2017 (2 updates tracked since 2017).

About Elizabeth Kay Keller Msn, Np-c NPPES

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

ELIZABETH KAY KELLER MSN, NP-C (NPI 1164955639) is an individual family provider in San Luis Obispo, California, licensed in California (95006481) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1164955639
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH KAY KELLERCredential: MSN, NP-C
Location Address1485 KANSAS AVESan Luis Obispo, CA 93405
Mailing Address1282 Chaparral CirSan Luis Obispo, CA 93401-7698 · (805) 234-8985
Phone(805) 754-2037
Fax(805) 357-6509
Sole ProprietorYes
Enumeration DateApril 11, 2017
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1164955639 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 CA · 95006481
1485 KANSAS AVE, San Luis Obispo, CA 93405
Open in Google Maps ↗

Secondary Practice Location 1

Location 1333 1st St Ste ASan Francisco, CA 94105-2661 · Phone (888) 803-3370

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Kay Keller Msn, Np-c 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

3

Medicare enrollment records show Elizabeth Keller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Coast Urgent Care Inc
7.4 mi
Urgent Care
783 QUINTANA RD
Morro Bay, CA 93442
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
NPI 1427372226 (805) 771-0108
Memorialcare Medical Foundation
193 mi
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622
Circle Medical Care Of California
194 mi
Family Medicine
333 1ST ST STE A
San Francisco, CA 94105
  • Reassigned Medicare billing, California enrollment
  • 178 clinicians in this Medicare group
NPI 1134596091 (888) 803-3370

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 93405 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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.

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.

76.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.94
Promoting Interoperability78
Improvement Activities40
Cost55.12

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 Elizabeth Keller's NPI number?

The NPI number for Elizabeth Keller is 1164955639. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Elizabeth Keller located?

Elizabeth Keller practices at 1485 Kansas Ave, San Luis Obispo, CA 93405. The listed phone number is (805) 754-2037.

What is Elizabeth Keller's specialty?

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

Is Elizabeth Keller enrolled in Medicare?

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

Which organizations bill Medicare for Elizabeth Keller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Keller reassigns Medicare benefits to 3 organizations: Central Coast Urgent Care Inc (Morro Bay, CA), Memorialcare Medical Foundation (Fountain Valley, CA) and Circle Medical Care Of California (San Francisco, CA). Each 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 Elizabeth 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 Elizabeth Keller was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.