MACKENZIE KELLER ARNP
NPI 1194384248
Nurse Practitioner in Des Moines, IA

Q: What is Mackenzie Keller's NPI number?

The NPI number for Mackenzie Keller is 1194384248. It was assigned to this individual provider in the NPPES registry on June 12, 2019. The provider is also known as Mackenzie Fullerton Arnp.

Q: What is Mackenzie Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Keller was last updated on June 22, 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 June 12, 2019PECOS EnrolledAccepts Medicare Assignment

411 LAUREL ST STE A120, DES MOINES, IA 50314(515) 643-7900(515) 643-7901 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2022, Nov 11, 2020, Jun 22, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Mackenzie Keller Arnp NPPES

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

MACKENZIE KELLER ARNP (NPI 1194384248) is an individual nurse practitioner in Des Moines, Iowa, licensed in Iowa (H154519) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194384248

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMACKENZIE KELLERCredential: ARNP

Location Address411 LAUREL ST STE A120Des Moines, IA 50314-3027

Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 643-7900 · Fax (515) 643-7901

Phone(515) 643-7900

Fax(515) 643-7901

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 12, 2019

Last NPPES UpdateJune 22, 20224 updates tracked since enumeration

NPPES CertifiedJune 22, 2022

✔ NPI 1194384248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IA · H154519

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

411 LAUREL ST STE A120, Des Moines, IA 50314

Open in Google Maps ↗

Other Names 1

Former Name (1)Mackenzie Fullerton Arnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Mackenzie Keller Arnp 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 ID8325375611

PECOS Enrollment IDI20190808003616

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.

Hospital Affiliations CMS Care Compare

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160083

Location1111 6th AveDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 20

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

RACHAEL M. DOTY ARNP

Nurse Practitioner