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JESSICA L KELLER LMSW
NPI 1902414188
Social Worker - Clinical in Glens Falls, NY

Active since July 14, 2020PECOS EnrolledAccepts Medicare Assignment
125 BROAD ST, ONE BROAD STREET PLAZA, GLENS FALLS, NY 12801(518) 745-0079 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2021, Jul 14, 2020 (2 updates tracked since 2020).

About Jessica L Keller Lmsw NPPES

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

JESSICA L KELLER LMSW (NPI 1902414188) is an individual clinical provider in Glens Falls, New York, licensed in New York (097084) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1902414188
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA L KELLERCredential: LMSW
Location Address125 BROAD ST, ONE BROAD STREET PLAZAGlens Falls, NY 12801
Mailing Address125 Broad St, One Broad Street PlazaGlens Falls, NY 12801 · (518) 745-0079
Phone(518) 745-0079
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 14, 2020
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedNovember 10, 2021
✔ NPI 1902414188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 097084
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
125 BROAD ST, Glens Falls, NY 12801
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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 and accepts Medicare assignment

Jessica L Keller Lmsw 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 ID5496256380
PECOS Enrollment IDI20250902001019
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 Jessica Keller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osika And Scarano Psychological Services PC
0.5 mi
Clinical Child & Adolescent
5 PINE ST
Glens Falls, NY 12801
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
NPI 1093875429 (518) 745-0079

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 12801 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
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
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 Jessica Keller's NPI number?

The NPI number for Jessica Keller is 1902414188. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Jessica Keller located?

Jessica Keller practices at 125 Broad St One Broad Street Plaza, Glens Falls, NY 12801. The listed phone number is (518) 745-0079.

What is Jessica Keller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Keller enrolled in Medicare?

Yes. Jessica 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.

Which organization bills Medicare for Jessica Keller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Keller reassigns Medicare benefits to Osika And Scarano Psychological Services PC (Glens Falls, NY). 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 Jessica 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 Jessica Keller was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.