DR. NICOLE BARBARA KELLER MD
NPI 1699351676
Student in an Organized Health Care Education/Training Program in Cleveland, OH

Q: What is Nicole Keller's NPI number?

The NPI number for Nicole Keller is 1699351676. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Nicole Keller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Keller was last updated on April 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 22, 2021PECOS Enrolled

11100 EUCLID AVE, CLEVELAND, OH 44106(313) 300-4855 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 4, 2022, Mar 22, 2021 (2 updates tracked since 2021).

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About Dr. Nicole Barbara Keller Md NPPES

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

DR. NICOLE BARBARA KELLER MD (NPI 1699351676) is an individual student in an organized health care education/training program in Cleveland, Ohio and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1699351676

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. NICOLE BARBARA KELLERCredential: MD

Location Address11100 EUCLID AVECleveland, OH 44106-1716

Mailing Address11100 Euclid AveCleveland, OH 44106-1716

Phone(313) 300-4855

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 22, 2021

Last NPPES UpdateApril 4, 20222 updates tracked since enumeration

NPPES CertifiedApril 4, 2022

✔ NPI 1699351676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11100 EUCLID AVE, Cleveland, OH 44106

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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)

Dr. Nicole Barbara Keller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143621896

PECOS Enrollment IDI20260608000280

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.

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