MICHAEL MASON KELLER FNP
NPI 1962389916
Nurse Practitioner - Family in Mobridge, SD
About Michael Mason Keller Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL MASON KELLER FNP (NPI 1962389916) is an individual family provider in Mobridge, South Dakota, licensed in South Dakota (CP003779) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with Mobridge Regional Hospital - Cah, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Mason Keller Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mobridge Regional Hospital - Cah
Critical Access Hospitals · Mobridge, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57601 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOBRIDGE, SD 57601
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 Michael Keller's NPI number?
The NPI number for Michael Keller is 1962389916. It was assigned to this individual provider in the NPPES registry on August 20, 2025. The provider is also known as Mason Keller Fnp.
Where is Michael Keller located?
Michael Keller practices at 1401 10th Ave W, Mobridge, SD 57601. The listed phone number is (605) 845-3692.
What is Michael Keller's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Michael Keller enrolled in Medicare?
Yes. Michael Keller is registered in the Medicare PECOS enrollment system.
Is Michael Keller affiliated with any hospitals?
According to CMS data, Michael Keller is affiliated with Mobridge Regional Hospital - Cah.
When was this NPI record last updated?
The NPPES record for Michael Keller was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Michael Mason Keller, FNP · NPI 1962389916
Family physician in Mobridge, South Dakota. Individual provider, active in the CMS NPPES registry since August 20, 2025.
## Identity
- **NPI:** 1962389916 (Entity type: Individual)
- **Enumerated:** August 20, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CP003779 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 10TH AVE W, Mobridge, SD 57601-1106
- **Phone:** (605) 845-3692
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** June 12, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1962389916) · Data from the CMS NPPES public registry.