STEPHANIE B KELLER FNP
NPI 1578366191
Nurse Practitioner - Family in Holtsville, NY

Active since March 29, 2025PECOS EnrolledAccepts Medicare Assignment
11 GLEN HOLLOW DR APT D37, HOLTSVILLE, NY 11742(631) 521-5976 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie B Keller Fnp NPPES

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

STEPHANIE B KELLER FNP (NPI 1578366191) is an individual family provider in Holtsville, New York, licensed in New York (F355859-01) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1578366191
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE B KELLERCredential: FNP
Location Address11 GLEN HOLLOW DR APT D37Holtsville, NY 11742-2453
Mailing Address11 Glen Hollow Dr Apt D37Holtsville, NY 11742-2453 · (631) 521-5976
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 29, 2025
NPPES CertifiedMarch 29, 2025
NPI 1578366191 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 NY · F355859-01
11 GLEN HOLLOW DR APT D37, Holtsville, NY 11742

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

Stephanie B Keller Fnp 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 ID5294225603
PECOS Enrollment IDI20251105000648
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 11742 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Stephanie Keller's NPI number?

The NPI number for Stephanie Keller is 1578366191. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Where is Stephanie Keller located?

Stephanie Keller practices at 11 Glen Hollow Dr Apt D37, Holtsville, NY 11742. The listed phone number is (631) 521-5976.

What is Stephanie Keller's specialty?

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

Is Stephanie Keller enrolled in Medicare?

Yes. Stephanie Keller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Stephanie Keller was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.