SAVANNAH GRACE KELLER PNP
NPI 1467911685
Nurse Practitioner - Pediatrics in Vallejo, CA

Q: What is Savannah Keller's NPI number?

The NPI number for Savannah Keller is 1467911685. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Savannah Keller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Savannah Keller was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 18, 2019PECOS Enrolled

415 GEORGIA ST, VALLEJO, CA 94590(707) 556-8100(707) 556-8107 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 1, 2022, Mar 18, 2019 (2 updates tracked since 2019).

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About Savannah Grace Keller Pnp NPPES

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

SAVANNAH GRACE KELLER PNP (NPI 1467911685) is an individual pediatrics provider in Vallejo, California, licensed in California (95010542) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467911685

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSAVANNAH GRACE KELLERCredential: PNP

Location Address415 GEORGIA STVallejo, CA 94590-6004

Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4189

Phone(707) 556-8100

Fax(707) 556-8107

Sole ProprietorNo

Enumeration DateMarch 18, 2019

Last NPPES UpdateMarch 1, 20222 updates tracked since enumeration

NPPES CertifiedMarch 1, 2022

✔ NPI 1467911685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in CA · 95010542

415 GEORGIA ST, Vallejo, CA 94590

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Savannah Grace Keller Pnp 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 94590 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

$98.85 typical visit price

range $65.02 – $191.95

Typical copayment $24.71 (range $16.25 – $47.98)

Most-billed visit code 99203

Established Patient

$113.05 typical visit price

range $21.86 – $157.69

Typical copayment $28.26 (range $5.46 – $39.42)

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.

Other Providers at the Same Location NPPES 16

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

CONNOR JAMES LABELLA PA-C

Physician Assistant