STACEY LYNN KELLER PA-C
NPI 1831441831
Physician Assistant - Medical in North Canton, OH

Active since October 15, 2012PECOS EnrolledAccepts Medicare Assignment
7072 MEARS GATE DR NW, NORTH CANTON, OH 44720(330) 966-1319(330) 966-1321 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stacey Lynn Keller Pa-c NPPES

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

STACEY LYNN KELLER PA-C (NPI 1831441831) is an individual medical provider in North Canton, Ohio, licensed in Ohio (50003643) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1831441831
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTACEY LYNN KELLERCredential: PA-C
Location Address7072 MEARS GATE DR NWNorth Canton, OH 44720-8850
Mailing Address7072 Mears Gate Dr NwNorth Canton, OH 44720-8850 · (330) 966-1319 · Fax (330) 966-1321
Fax(330) 966-1321
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 15, 2012
Last NPPES UpdateMarch 14, 2022
NPPES CertifiedOctober 7, 2020
NPI 1831441831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OH · 50003643
Also ListedPhysician AssistantTaxonomy 363A00000X · License 50-003643 (OH)
7072 MEARS GATE DR NW, North Canton, OH 44720

Other Identifiers 1

Medicaid0086155OH

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

Stacey Lynn Keller Pa-c 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 ID4082865209
PECOS Enrollment IDI20121117000119
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
117 services87 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
80 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
26 services26 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services11 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark County
Emergency services Birthing friendly

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.29 avg. paid by Medicare
Manual wheelchair accessory, push-rim activated power assist system E0986
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$382.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Physician Assistant
7072 MEARS GATE DR NW
NORTH CANTON, OH 44720

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 Stacey Keller's NPI number?

The NPI number for Stacey Keller is 1831441831. It was assigned to this individual provider in the NPPES registry on October 15, 2012.

Where is Stacey Keller located?

Stacey Keller practices at 7072 Mears Gate Dr NW, North Canton, OH 44720. The listed phone number is (330) 966-1319.

What is Stacey Keller's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stacey Keller enrolled in Medicare?

Yes. Stacey 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.

Is Stacey Keller affiliated with any hospitals?

According to CMS data, Stacey Keller is affiliated with Mercy Medical Center and Aultman Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Keller was last updated on March 14, 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.