BAILEY JO KECKLER
NPI 1235600404
Nurse Practitioner - Family in Eagle Butte, SD

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment
24337 US HIGHWAY 212, EAGLE BUTTE, SD 57625(605) 964-8000 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2022, Dec 16, 2018 (2 updates tracked since 2018).

About Bailey Jo Keckler NPPES

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

BAILEY JO KECKLER (NPI 1235600404) is an individual family provider in Eagle Butte, South Dakota, licensed in South Dakota (CP002540) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Eagle Butte, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235600404
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBAILEY JO KECKLER
Location Address24337 US HIGHWAY 212Eagle Butte, SD 57625-7770
Mailing AddressPo Box 860Eagle Butte, SD 57625-0860 · (605) 295-3497
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 16, 2018
Last NPPES UpdateDecember 13, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1235600404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SD · CP002540
Also ListedRegistered NurseTaxonomy 163W00000X · License R047564 (SD)
24337 US HIGHWAY 212, Eagle Butte, SD 57625

Other Names 1

Former Name (1)Bailey Jo Heninger

Secondary Practice Location 1

Location 124276 166th ST Airport RoadEagle Butte, SD 57625 · Phone (605) 964-7724

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bailey Jo Keckler 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 ID8224493978
PECOS Enrollment IDI20230502001222
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 Reassignment

Medicare enrollment records show Bailey Keckler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
8000 E HWY 212
Eagle Butte, SD 57625
  • Reassigned Medicare billing, South Dakota enrollment
  • 67 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
30 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57625 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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 2

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

Physician Assistant
24337 US HIGHWAY 212
EAGLE BUTTE, SD 57625
Nurse Practitioner (Family)
24337 US HIGHWAY 212
EAGLE BUTTE, SD 57625

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 Bailey Keckler's NPI number?

The NPI number for Bailey Keckler is 1235600404. It was assigned to this individual provider in the NPPES registry on December 16, 2018. The provider is also known as Bailey Jo Heninger.

Where is Bailey Keckler located?

Bailey Keckler practices at 24337 Us Highway 212, Eagle Butte, SD 57625. The listed phone number is (605) 964-8000.

What is Bailey Keckler's specialty?

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

Is Bailey Keckler enrolled in Medicare?

Yes. Bailey Keckler 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.

Which organization bills Medicare for Bailey Keckler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bailey Keckler reassigns Medicare benefits to Horizon Health Care Inc (Eagle Butte, SD). The 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 Bailey Keckler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bailey Keckler accept?

Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Bailey Keckler 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 Bailey Keckler was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.