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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Savannah Keller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Clinica De La Raza Inc
0.1 mi
Federally Qualified Health Center (FQHC)
243 GEORGIA ST, SUITE B
Vallejo, CA 94590
  • Reassigned Medicare billing, California enrollment
  • 187 clinicians in this Medicare group
NPI 1992811392 (707) 556-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
415 GEORGIA ST
VALLEJO, CA 94590
Solano County (707) 556-8100
EUGENE P LUNA DDS
Dentist (General Practice)
415 GEORGIA ST
VALLEJO, CA 94590
Solano County (707) 558-2000
PAULINA REBECCA OLVERA
Marriage & Family Therapist
415 GEORGIA ST
VALLEJO, CA 94590
Solano County (707) 556-8100
KYRA RAY MD
Family Medicine
415 GEORGIA ST
VALLEJO, CA 94590
Solano County (707) 556-8100
MELISSA MORGAN BELEC DO, MPH
Internal Medicine (Diabetology)
415 GEORGIA ST
VALLEJO, CA 94590
Solano County (707) 556-6100
DR. ZOE ALYSSA CAPPE M.D
Family Medicine
415 GEORGIA ST
VALLEJO, CA 94590
Solano County (707) 556-8100
MONEESHA RANI MUKHERJEE MD
Family Medicine
415 GEORGIA ST
VALLEJO, CA 94590
Solano County (707) 556-8100
DR. GERALD ARLEN DOWNING JR. DDS
Dentist (General Practice)
415 GEORGIA ST
VALLEJO, CA 94590
Solano County (707) 556-8100

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 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.

Where is Savannah Keller located?

Savannah Keller practices at 415 Georgia St, Vallejo, CA 94590. The listed phone number is (707) 556-8100.

What is Savannah Keller's specialty?

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

Is Savannah Keller enrolled in Medicare?

Yes. Savannah Keller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Savannah Keller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Savannah Keller reassigns Medicare benefits to La Clinica De La Raza Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Savannah Keller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.