Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUMMER DAWN KELLER
NPI 1417411828
Physician Assistant in North Kansas City, MO

Active since January 30, 2019PECOS EnrolledAccepts Medicare Assignment
2790 CLAY EDWARDS DR, NORTH KANSAS CITY, MO 64116(816) 561-3003 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2026, Jan 30, 2019 (2 updates tracked since 2019).

About Summer Dawn Keller NPPES

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

SUMMER DAWN KELLER (NPI 1417411828) is an individual physician assistant in North Kansas City, Missouri and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Research Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417411828
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUMMER DAWN KELLER
Location Address2790 CLAY EDWARDS DRNorth Kansas City, MO 64116-3276
Mailing Address11890 Windham RdCountry Club, MO 64505-9344 · (816) 273-7029
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 30, 2019
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
NPI 1417411828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2790 CLAY EDWARDS DR, North Kansas City, MO 64116

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

Summer Dawn Keller 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 ID3072853894
PECOS Enrollment IDI20190314000260
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Research Medical Center

Acute Care Hospitals · Kansas City, MO
2/5 CMS rating
OwnershipProprietary
CMS Certification Number260027
Location2316 E Meyer BlvdKansas City, MO 64132 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64116 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier18 claims18 services$215.12 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 20

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

Registered Nurse (Critical Care Medicine)
2790 CLAY EDWARDS DR, SUITE 510
N KANSAS CITY, MO 64116
Psychiatry & Neurology (Neurology)
2790 CLAY EDWARDS DR, SUITE 1235
NORTH KANSAS CITY, MO 64116
Podiatrist
2790 CLAY EDWARDS DR, SUITE 570
N KANSAS CITY, MO 64116
Internal Medicine (Cardiovascular Disease)
2790 CLAY EDWARDS DR, SUITE 520
NORTH KANSAS CITY, MO 64116
Orthopaedic Surgery
2790 CLAY EDWARDS DR, SUITE #650
NORTH KANSAS CITY, MO 64116
Nurse Practitioner
2790 CLAY EDWARDS DR, STE 1230
NORTH KANSAS CITY, MO 64116
Nurse Practitioner (Family)
2790 CLAY EDWARDS DR, SUITE 410
NORTH KANSAS CITY, MO 64116
Psychiatry & Neurology (Neurology)
2790 CLAY EDWARDS DR, SUITE 1235
NORTH KANSAS CITY, MO 64116

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 Summer Keller's NPI number?

The NPI number for Summer Keller is 1417411828. It was assigned to this individual provider in the NPPES registry on January 30, 2019.

Where is Summer Keller located?

Summer Keller practices at 2790 Clay Edwards Dr, North Kansas City, MO 64116. The listed phone number is (816) 561-3003.

What is Summer Keller's specialty?

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

Is Summer Keller enrolled in Medicare?

Yes. Summer 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 Summer Keller accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Summer 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.

Is Summer Keller affiliated with any hospitals?

According to CMS data, Summer Keller is affiliated with Research Medical Center.

When was this NPI record last updated?

The NPPES record for Summer Keller was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.