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MRS. JENNIFER L KELLER APRN
NPI 1396362125
Nurse Practitioner - Family in Waterbury, CT

Active since June 27, 2020PECOS EnrolledAccepts Medicare Assignment
170 GRANDVIEW AVE STE 1, WATERBURY, CT 06708(203) 759-3666 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2020, Aug 8, 2020, Jul 21, 2020 and 1 more (4 updates tracked since 2020).

About Mrs. Jennifer L Keller Aprn NPPES

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

MRS. JENNIFER L KELLER APRN (NPI 1396362125) is an individual family provider in Waterbury, Connecticut, licensed in Connecticut (12.009086) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1396362125
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JENNIFER L KELLERCredential: APRN
Location Address170 GRANDVIEW AVE STE 1Waterbury, CT 06708-2577
Mailing Address209 Norfolk RdLitchfield, CT 06759-2514 · (860) 201-7855
Phone(203) 759-3666
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 27, 2020
Last NPPES UpdateNovember 12, 20204 updates tracked since enumeration
NPPES CertifiedNovember 12, 2020
✔ NPI 1396362125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 12.009086
Also ListedRegistered NurseTaxonomy 163W00000X · License 134738 (CT)
170 GRANDVIEW AVE STE 1, Waterbury, CT 06708
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Other Names 1

Former Name (1)Jennifer Lyn Cappello Aprn

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

Mrs. Jennifer L Keller Aprn 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 ID2466863550
PECOS Enrollment IDI20201120001318
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 06708 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers41 claims41 services$4.20 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims14 services$24.67 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 suppliers23 claims23 services$57.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jennifer Keller's NPI number?

The NPI number for Jennifer Keller is 1396362125. It was assigned to this individual provider in the NPPES registry on June 27, 2020. The provider is also known as Jennifer Lyn Cappello Aprn.

Where is Jennifer Keller located?

Jennifer Keller practices at 170 Grandview Ave Ste 1, Waterbury, CT 06708. The listed phone number is (203) 759-3666.

What is Jennifer Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Keller enrolled in Medicare?

Yes. Jennifer 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.

When was this NPI record last updated?

The NPPES record for Jennifer Keller was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.