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Jill Nicole Keller , MSSA, LSW

Social Worker β€’ Wooster, OH

Active NPI 1225512981 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2587 Back Orrville Rd
Wooster, OH 446919523

Call 3302649597 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

2587 Back Orrville Rd

Wooster, OH 446919523

Telephone 3302649597
Fax 3302640946
Organization at the Same NPPES Address or Phone
Anazao Community Partners Facility NPI 1164471082

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Sondermind Provider Network Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Enrolled in Medicare (PECOS)

Jill Keller has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jill Keller as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Wooster and Ohio

220 active clinicians are listed under Social Worker with a practice address in Wooster, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wooster

0% of these 220 clinicians have the CMS telehealth indicator.

1.4% of these 220 clinicians are listed by CMS as accepting Medicare assignment.

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: 2021-01-20
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S2105821

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S1800589TRNE

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20230517003028

Enrollment State Jurisdiction

OH

PECOS Control ID

1658737671

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Sondermind Provider Network Llc

20 S 3rd St, Columbus, OH 432154206

Phone: 8666300966

Career & Practice History Timeline

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

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated January 20, 2021

Recorded as JILL KELLER, MSSA, LSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2021

Social Worker (license number reported to NPPES: OH S2105821)

βœ…
NPI Profile Active September 19, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 19, 2018

Registered at 2587 BACK ORRVILLE RD, WOOSTER, OH 446919523 (Tel: 3302649597)

πŸ“
Business Mailing Address (Initial Record) September 19, 2018

Registered at 2587 BACK ORRVILLE RD, WOOSTER, OH 446919523 (Tel: 3302649597)

πŸ‘€
Provider Name / Credentials (Initial Record) September 19, 2018

Recorded as JILL KELLER, SWT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2018

Social Worker (license number reported to NPPES: OH S1800589TRNE)

🟒
Initial NPI Registration & Enumeration September 19, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225512981
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2018
Last Update: January 20, 2021
Sole Proprietor: No

Mailing Address

2587 Back Orrville Rd

Wooster, OH 446919523

Phone: 3302649597

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.