MARY LOUISE KELLER PAC
NPI 1356663587
Physician Assistant in Jonesville, NC

Active since February 15, 2010PECOS EnrolledAccepts Medicare Assignment
4000 S SWAIM STREET EXT, JONESVILLE, NC 28642(336) 835-6300(336) 835-4761 Get Directions Write a Review

NPPES record last updated: November 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2016, Nov 16, 2016 (2 updates tracked since 2016).

About Mary Louise Keller Pac NPPES

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

MARY LOUISE KELLER PAC (NPI 1356663587) is an individual physician assistant in Jonesville, North Carolina, licensed in North Carolina (0010-02213) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1356663587
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY LOUISE KELLERCredential: PAC
Location Address4000 S SWAIM STREET EXTJonesville, NC 28642-9418
Mailing Address1701 Westchester Dr, Ste. 850High Point, NC 27262-7008 · (336) 802-2400 · Fax (336) 802-2534
Fax(336) 835-4761
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 15, 2010
Last NPPES UpdateNovember 22, 20162 updates tracked since enumeration
NPI 1356663587 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 · 0010-02213
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.
4000 S SWAIM STREET EXT, Jonesville, NC 28642

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Louise Keller Pac 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.

PECOS PAC ID5698803435
PECOS Enrollment IDI20100514000446
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 28642 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$33.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$96.49 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers25 claims25 services$199.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Family Medicine
4000 S SWAIM STREET EXT
JONESVILLE, NC 28642
Family Medicine
4000 S SWAIM STREET EXT
JONESVILLE, NC 28642
Family Medicine
4000 S SWAIM STREET EXT
JONESVILLE, NC 28642
Nurse Practitioner
4000 S SWAIM STREET EXT
JONESVILLE, NC 28642
Non-Pharmacy Dispensing Site
4000 S SWAIM STREET EXT
JONESVILLE, NC 28642
Family Medicine
4000 S SWAIM STREET EXT
JONESVILLE, NC 28642
Physician Assistant
4000 S SWAIM STREET EXT
JONESVILLE, NC 28642
Family Medicine
4000 S SWAIM STREET EXT
JONESVILLE, NC 28642

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 Mary Keller's NPI number?

The NPI number for Mary Keller is 1356663587. It was assigned to this individual provider in the NPPES registry on February 15, 2010.

Where is Mary Keller located?

Mary Keller practices at 4000 S Swaim Street Ext, Jonesville, NC 28642. The listed phone number is (336) 835-6300.

What is Mary Keller's specialty?

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

Is Mary Keller enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Keller accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Mary 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 Mary Keller was last updated on November 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.