JOHN VINCENT KELLER PA
NPI 1316488463
Physician Assistant in Hildebran, NC

Active since March 08, 2017PECOS Enrolled
95.35/100
CMS Quality Rating
107 S CENTER ST, HILDEBRAN, NC 28637(828) 397-3522 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2023, Jan 26, 2023, Jan 18, 2023 and 49 more (52 updates tracked since 2018).

About John Vincent Keller Pa NPPES

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

JOHN VINCENT KELLER PA (NPI 1316488463) is an individual physician assistant in Hildebran, North Carolina, licensed in North Carolina (0010-07051) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1316488463
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN VINCENT KELLERCredential: PA
Location Address107 S CENTER STHildebran, NC 28637-8304
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Enumeration DateMarch 8, 2017
Last NPPES UpdateApril 11, 202352 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
NPI 1316488463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-07051
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
107 S CENTER ST, Hildebran, NC 28637

Secondary Practice Locations 5

Location 110210 Couloak Dr, Ste ECharlotte, NC 28216-7679 · Phone (704) 801-2000
Location 27810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636
Location 35727 Prosperity Crossing Dr, Ste 1100Charlotte, NC 28269-2206 · Phone (704) 863-9930
Location 45717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150
Location 51802 E Main StLincolnton, NC 28092-3915 · Phone (980) 212-2610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Vincent Keller Pa 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 28637 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Family Medicine
107 S CENTER ST
HILDEBRAN, NC 28637
Family Medicine
107 S CENTER ST
HILDEBRAN, NC 28637
Family Medicine
107 S CENTER ST
HILDEBRAN, NC 28637
Physician Assistant
107 S CENTER ST
HILDEBRAN, NC 28637
Physician Assistant
107 S CENTER ST
HILDEBRAN, NC 28637

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 John Keller's NPI number?

The NPI number for John Keller is 1316488463. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is John Keller located?

John Keller practices at 107 S Center St, Hildebran, NC 28637. The listed phone number is (828) 397-3522.

What is John Keller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Keller enrolled in Medicare?

Yes. John Keller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Keller was last updated on April 11, 2023. 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.