DR. NICOLE CHRISTINE KELLER D.O.
NPI 1316214240
Pediatrics in Oswego, IL

Q: What is Nicole Keller's NPI number?

The NPI number for Nicole Keller is 1316214240. It was assigned to this individual provider in the NPPES registry on November 21, 2011.

Q: What is Nicole Keller's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Keller was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 21, 2011PECOS Enrolled

4789 ROUTE 71, OSWEGO, IL 60543(630) 898-5969(630) 898-5837 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2020, Jul 10, 2017 (2 updates tracked since 2017).

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About Dr. Nicole Christine Keller D.o. NPPES

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

DR. NICOLE CHRISTINE KELLER D.O. (NPI 1316214240) is an individual pediatrics provider in Oswego, Illinois, licensed in Illinois (036129833) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316214240

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. NICOLE CHRISTINE KELLERCredential: D.O.

Location Address4789 ROUTE 71Oswego, IL 60543-7415

Mailing Address4789 Route 71Oswego, IL 60543-7415 · (630) 898-5969 · Fax (630) 898-5837

Phone(630) 898-5969

Fax(630) 898-5837

Sole ProprietorNo

Enumeration DateNovember 21, 2011

Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration

NPPES CertifiedJuly 20, 2020

✔ NPI 1316214240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036129833

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4789 ROUTE 71, Oswego, IL 60543

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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)

Dr. Nicole Christine Keller D.o. 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 60543 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 14

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

DANIELLE HYATT MD

Pediatrics