MATTHEW RYAN KELLER MSW, LICSW
NPI 1336664614
Social Worker - Clinical in Crookston, MN
About Matthew Ryan Keller Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW RYAN KELLER MSW, LICSW (NPI 1336664614) is an individual clinical provider in Crookston, Minnesota, licensed in Minnesota (24371) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Matthew Ryan Keller Msw, Licsw 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Keller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Crookston, MN 56716
- Reassigned Medicare billing, Minnesota enrollment
- 39 clinicians in this Medicare group
Grand Forks, ND 58201
- Reassigned Medicare billing, North Dakota enrollment
- 6 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56716 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Matthew Keller's NPI number?
The NPI number for Matthew Keller is 1336664614. It was assigned to this individual provider in the NPPES registry on August 8, 2017.
Where is Matthew Keller located?
Matthew Keller practices at 603 Bruce St, Crookston, MN 56716. The listed phone number is (218) 281-3940.
What is Matthew Keller's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Matthew Keller enrolled in Medicare?
Yes. Matthew Keller 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 organizations bill Medicare for Matthew Keller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Keller reassigns Medicare benefits to 2 organizations: Alluma, Inc. (Crookston, MN) and Center For Self-Growth & Renewal, PC (Grand Forks, ND). Each 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 Matthew Keller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Keller accept?
Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Matthew Keller 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 Matthew Keller was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Matthew Ryan Keller, MSW, LICSW · NPI 1336664614
Clinical provider in Crookston, Minnesota. Individual provider, active in the CMS NPPES registry since August 8, 2017.
## Identity
- **NPI:** 1336664614 (Entity type: Individual)
- **Enumerated:** August 8, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 24371 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 603 BRUCE ST, Crookston, MN 56716-2914
- **Phone:** (218) 281-3940 · **Fax:** (218) 281-6261
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alluma, Inc. (NPI 1508835133, Crookston, MN); Center For Self-Growth & Renewal, PC (NPI 1265658967, Grand Forks, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336664614) · Data from the CMS NPPES public registry.