LISA KELLER PA-C
NPI 1427459544
Physician Assistant - Medical in Phoenix, AZ

Q: What is Lisa Keller's NPI number?

The NPI number for Lisa Keller is 1427459544. It was assigned to this individual provider in the NPPES registry on September 8, 2014.

Q: What is Lisa Keller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Keller was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since September 08, 2014PECOS EnrolledAccepts Medicare Assignment

4545 E CHANDLER BLVD STE 104, PHOENIX, AZ 85048(480) 728-4400(480) 728-4411 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Nov 10, 2023, Sep 6, 2023 and 2 more (5 updates tracked since 2018).

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About Lisa Keller Pa-c NPPES

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

LISA KELLER PA-C (NPI 1427459544) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (5818) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Queen Creek, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1427459544

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLISA KELLERCredential: PA-C

Location Address4545 E CHANDLER BLVD STE 104Phoenix, AZ 85048-7647

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(480) 728-4400

Fax(480) 728-4411

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 8, 2014

Last NPPES UpdateDecember 5, 20245 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1427459544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 5818

Also ListedPhysician AssistantTaxonomy 363A00000X · License 5818 (AZ)

4545 E CHANDLER BLVD STE 104, Phoenix, AZ 85048

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Secondary Practice Location 1

Location 120715 E Ocotillo Rd Ste 102Queen Creek, AZ 85142-6118 · Phone (480) 987-0987 · Fax (480) 987-0940

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

Lisa Keller Pa-c 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 ID7012137284

PECOS Enrollment IDI20141029002208

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

110 services78 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

19 services19 patients

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Other Providers at the Same Location NPPES 6

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

DR. SAMINA AYUB M.D.

Family Medicine