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MR. JOHN ROBERT KECK N.P.
NPI 1215047766
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since August 30, 2006PECOS Enrolled
11047 N 19TH AVE, PHOENIX, AZ 85029(602) 589-0500(602) 314-4552 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. John Robert Keck N.p. NPPES

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

MR. JOHN ROBERT KECK N.P. (NPI 1215047766) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (AP2289) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1215047766
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JOHN ROBERT KECKCredential: N.P.
Location Address11047 N 19TH AVEPhoenix, AZ 85029-4816
Mailing Address11047 N 19th AvePhoenix, AZ 85029-4816 · (602) 589-0500 · Fax (602) 314-4552
Phone(602) 589-0500
Fax(602) 314-4552
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1215047766 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 AZ · AP2289
11047 N 19TH AVE, Phoenix, AZ 85029
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John Robert Keck N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800816083
PECOS Enrollment IDI20051202000219
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 John Keck reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sun Integrated Care PLLC
Same address
Psychiatry
11035 N 19TH AVE
Phoenix, AZ 85029
  • Reassigned Medicare billing, Arizona enrollment
  • 3 clinicians in this Medicare group
NPI 1578234829 (602) 671-1700
Southwest Behavioral Health Services, Inc.
1.3 mi
Specialist
11221 N 28TH DR BLDG E
Phoenix, AZ 85029
  • Reassigned Medicare billing, Arizona enrollment
  • 137 clinicians in this Medicare group
NPI 1922517655 (602) 285-4318
Community Bridges, Inc.
10 mi
Clinic/Center
2770 E VAN BUREN ST RM E
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 131 clinicians in this Medicare group
NPI 1235849993 (480) 831-7566

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 85029 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 10

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

DR. MICHAEL W. LOES M.D.
Internal Medicine (Addiction Medicine)
11047 N 19TH AVE
PHOENIX, AZ 85029
Maricopa County (602) 944-2222
DR. DAVID K TOWNS MD
Anesthesiology (Pain Medicine)
11047 N 19TH AVE
PHOENIX, AZ 85029
Maricopa County (602) 589-0500
MPM GROUP LLC
Clinic/Center (Pain)
11047 N 19TH AVE
PHOENIX, AZ 85029
Maricopa County (602) 944-2222
DESERT PAIN AND REHAB SPECIALISTS
Physical Medicine & Rehabilitation (Pain Medicine)
11047 N 19TH AVE
PHOENIX, AZ 85029
Maricopa County (602) 944-2222
LEWLAB LLC
Clinical Medical Laboratory
11047 N 19TH AVE
PHOENIX, AZ 85029
Maricopa County (602) 944-0072
MS. JULIE ANN OVERBEY MS-FNP
Nurse Practitioner (Family)
11047 N 19TH AVE
PHOENIX, AZ 85029
Maricopa County (602) 589-0500
ATLANTIS MEDICAL GROUP AZ PLLC
Anesthesiology (Pain Medicine)
11047 N 19TH AVE
PHOENIX, AZ 85029
Maricopa County (602) 589-0500
JOANNE CHAMBOS FNP
Nurse Practitioner
11047 N 19TH AVE
PHOENIX, AZ 85029
Maricopa County (602) 589-0500

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 John Keck's NPI number?

The NPI number for John Keck is 1215047766. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is John Keck located?

John Keck practices at 11047 N 19th Ave, Phoenix, AZ 85029. The listed phone number is (602) 589-0500.

What is John Keck's specialty?

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

Is John Keck enrolled in Medicare?

Yes. John Keck is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Keck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Keck reassigns Medicare benefits to 3 organizations: Sun Integrated Care PLLC (Phoenix, AZ), Southwest Behavioral Health Services, Inc. (Phoenix, AZ) and Community Bridges, Inc. (Phoenix, AZ). 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 John Keck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Keck accept?

Health plans from Blue Cross Blue Shield of Arizona list John Keck 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.

When was this NPI record last updated?

The NPPES record for John Keck was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.