JOANNE M KELLER ARNP
NPI 1306800131
Nurse Practitioner - Women's Health in Mount Dora, FL

Active since April 17, 2006Opted out of Medicare · through Jul 1, 2028CLIA 10D0989360 · Waiver
3643 LAKE CENTER DR, MOUNT DORA, FL 32757(352) 385-2631(352) 385-2639 Get Directions Write a Review

NPPES record last updated: August 20, 2010. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Joanne M Keller Arnp NPPES

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

JOANNE M KELLER ARNP (NPI 1306800131) is an individual women's health provider in Mount Dora, Florida, licensed in Florida (3371562) and active in the NPI registry since April 2006. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through July 24, 2027.

NPPES Registry Identity

NPI1306800131
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameJOANNE M KELLERCredential: ARNP
Location Address3643 LAKE CENTER DRMount Dora, FL 32757-2364
Mailing Address3643 Lake Center DrMount Dora, FL 32757-2364 · (352) 385-2631 · Fax (352) 385-2639
Fax(352) 385-2639
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateAugust 20, 2010
NPI 1306800131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in FL · 3371562
3643 LAKE CENTER DR, Mount Dora, FL 32757

Other Identifiers 3

OtherY0232ZFL · Medicare Ptan
Medicare UPINP36064FL
Medicaid304050000FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Joanne M Keller Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2018 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2018
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0989360

Joanne M Keller Arnp Womens Health & Wellness Practice PA · Mount Dora, FL
Active · expires Jul 24, 2027
CLIA Number10D0989360
Laboratory TypePractitioner Other
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorJoanne M. Keller
Laboratory Phone(352) 385-2631
Laboratory LocationJoanne M Keller Arnp Womens Health & Wellness Practice PA3643 Lake Center Drive, Mount Dora, FL 32757
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32757 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Nurse Practitioner (Family)
3643 LAKE CENTER DR
MOUNT DORA, FL 32757
Nurse Practitioner (Family)
3643 LAKE CENTER DR
MOUNT DORA, FL 32757

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 Joanne Keller's NPI number?

The NPI number for Joanne Keller is 1306800131. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Joanne Keller located?

Joanne Keller practices at 3643 Lake Center Dr, Mount Dora, FL 32757. The listed phone number is (352) 385-2631.

What is Joanne Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Joanne Keller enrolled in Medicare?

No. Joanne Keller has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Joanne Keller hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0989360) is associated with this NPI, valid through July 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Joanne Keller was last updated on August 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.