MS. LISA KELLER CPNP
NPI 1316105075
Nurse Practitioner - Pediatrics in Madison, WI

Q: What is Lisa Keller's NPI number?

The NPI number for Lisa Keller is 1316105075. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Q: What is Lisa Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Keller was last updated on May 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 29, 2008PECOS Enrolled

1675 HIGHLAND AVE, ROOM P4 4118, MADISON, WI 53792(608) 890-8198(608) 265-9721 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Lisa Keller Cpnp NPPES

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

MS. LISA KELLER CPNP (NPI 1316105075) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (97062) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316105075

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMS. LISA KELLERCredential: CPNP

Location Address1675 HIGHLAND AVE, ROOM P4 4118Madison, WI 53792-0002

Mailing Address1675 Highland Ave, Room P4 4118Madison, WI 53792-0002 · (608) 890-8198 · Fax (608) 265-9721

Phone(608) 890-8198

Fax(608) 265-9721

Sole ProprietorNo

Enumeration DateMay 29, 2008

✔ NPI 1316105075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in WI · 97062

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 104212-030 (WI)

1675 HIGHLAND AVE, Madison, WI 53792

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW 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)

Ms. Lisa Keller Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 53792 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

SHIRLEY L MCCALLUM

Dietitian, Registered

1675 HIGHLAND AVE, MAIL CODE: 1510
MADISON, WI 53792

Dane County (608) 890-8298

ANDREA MAGEE RD

Dietitian, Registered (Nutrition, Pediatric)