TINA LU KELLER RN, MSN, APRN-BC
NPI 1558407874
Nurse Practitioner - Adult Health in Los Angeles, CA
About Tina Lu Keller Rn, Msn, Aprn-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA LU KELLER RN, MSN, APRN-BC (NPI 1558407874) is an individual adult health provider in Los Angeles, California, licensed in California (368873) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tina Lu Keller Rn, Msn, Aprn-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90073
LOS ANGELES, CA 90073
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 Tina Keller's NPI number?
The NPI number for Tina Keller is 1558407874. It was assigned to this individual provider in the NPPES registry on January 30, 2007.
Where is Tina Keller located?
Tina Keller practices at 11301 Wilshire Blvd 112U, Los Angeles, CA 90073. The listed phone number is (310) 268-3447.
What is Tina Keller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Tina Keller enrolled in Medicare?
Yes. Tina Keller is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tina Keller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Tina Lu Keller, RN, MSN, APRN-BC · NPI 1558407874
Adult Health physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since January 30, 2007.
## Identity
- **NPI:** 1558407874 (Entity type: Individual)
- **Enumerated:** January 30, 2007
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 368873 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11301 WILSHIRE BLVD, 112U, Los Angeles, CA 90073-1003
- **Phone:** (310) 268-3447
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1558407874) · Data from the CMS NPPES public registry.