MRS. KEITHA ANN JACELLARI APRN, FNP-BC
NPI 1437550167
Nurse Practitioner - Family in Springfield, MO

Active since September 12, 2014PECOS Enrolled
1335 E REPUBLIC RD, SPRINGFIELD, MO 65804(417) 363-3900(417) 313-9998 Get Directions Write a Review

NPPES record last updated: May 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 31, 2023, Apr 14, 2023, Mar 13, 2020 (3 updates tracked since 2020).

About Mrs. Keitha Ann Jacellari Aprn, Fnp-bc NPPES

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

MRS. KEITHA ANN JACELLARI APRN, FNP-BC (NPI 1437550167) is an individual family provider in Springfield, Missouri, licensed in Arkansas (A004137) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437550167
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KEITHA ANN JACELLARICredential: APRN, FNP-BC
Location Address1335 E REPUBLIC RDSpringfield, MO 65804-7248
Mailing AddressPo Box 2452Mountain View, AR 72560-2452 · (870) 615-0825
Fax(417) 313-9998
Sole ProprietorNo
Enumeration DateSeptember 12, 2014
Last NPPES UpdateMay 31, 20233 updates tracked since enumeration
NPPES CertifiedMay 31, 2023
NPI 1437550167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · A004137
1335 E REPUBLIC RD, Springfield, MO 65804

Other Names 1

Former Name (1)Keitha Ann Keech Aprn, Fnp-bc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Keitha Ann Jacellari Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 65804 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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

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
1 supplier12 claims12 services$5.41 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 Keitha Jacellari's NPI number?

The NPI number for Keitha Jacellari is 1437550167. It was assigned to this individual provider in the NPPES registry on September 12, 2014. The provider is also known as Keitha Ann Keech Aprn, Fnp-Bc.

Where is Keitha Jacellari located?

Keitha Jacellari practices at 1335 E Republic Rd, Springfield, MO 65804. The listed phone number is (417) 363-3900.

What is Keitha Jacellari's specialty?

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

Is Keitha Jacellari enrolled in Medicare?

Yes. Keitha Jacellari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keitha Jacellari was last updated on May 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.