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Kirk Edwin Keller , OWNER

Physician β€’ Wapello, IA

Active NPI 1952821621 Individual Practitioner Male Practitioner
Practice location in NPPES

1150 Industrial Park Rd
Wapello, IA 526531056

Call 3195236006 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1150 Industrial Park Rd

Wapello, IA 526531056

Telephone 3195236006
Fax 3195232188

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-30
Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Iowa State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location June 30, 2023

Registered at 1150 INDUSTRIAL PARK RD, WAPELLO, IA 526531056 (Tel: 3195236006)

βœ…
NPI Profile Active June 23, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 23, 2017

Registered at 10836 120TH ST, WAPELLO, IA 526539472 (Tel: 3195236006)

πŸ“
Business Mailing Address (Initial Record) June 23, 2017

Registered at 10836 120TH ST, WAPELLO, IA 526539472 (Tel: 3195236006)

πŸ‘€
Provider Name / Credentials (Initial Record) June 23, 2017

Recorded as KIRK KELLER, OWNER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 23, 2017

Non-emergency Medical Transport (VAN)

🟒
Initial NPI Registration & Enumeration June 23, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952821621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2017
Last Update: June 30, 2023
Sole Proprietor: Yes

Mailing Address

10836 120th St

Wapello, IA 526539472

Phone: 3195236006

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.