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

Q: 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.

Q: 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.

Q: 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 8 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.

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: August 09, 2026.

On this page

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona 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 (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.

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 8

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)