MARY MARGARET KELLER


Address: 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660
Phone: 4143837744

MARY MARGARET KELLER (NPI# 1992727259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992727259
Entity Type Individual
Full Name MARY MARGARET KELLER
Credential APNP
Practice Address 2901 W Kinnickinnic River Pkwy Ste 413
Milwaukee
WI 53215-3660
Mailing Address 2514 S 102nd St
Suite 120
West Allis
WI 53227-2142
Practice Telephone 4143837744
Practice Fax Number 4143838089
Mailing Telephone 4147775200
Mailing Fax Number 4147775210
Enumeration Date 2006-07-24
Last Update Date 2019-12-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 1968 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI 43985900 05

Other Providers MARY KELLER

NPI Name Taxonomy Address Enumeration
1437475258 Mary Jane Keller Counselor 3100 Carlisle, Suite 109, Dallas, TX 75204 2010-04-19
1154523595 Mary L Keller Pharmacist 6600 Ne 112th Court, Ste 103, Vancouver, WA 98662 2007-06-05
1326129867 Mary Jane Keller Occupational Therapist 8554 Hwy 51 N, Unit 617, Minocqua, WI 54548 2006-10-18
1205453560 Mary Keller Registered Nurse 3853 Rosecrans St, San Diego, CA 92110-3115 2020-07-01
1245622752 Mary Keller Counselor 1944 Brannan Rd, Mcdonough, GA 30253-4310 2015-02-21
1356663587 Mary Louise Keller Physician Assistant 4000 S Swaim Street Ext, Jonesville, NC 28642-9418 2010-02-15
1073702866 Mary Ramsey Keller Dietitian, Registered 1801 Oak Park Blvd, Lake Charles, LA 70601-8900 2007-10-17
1932397254 Mary Keller Registered Nurse 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 2007-10-11
1073678033 Mary Jean Keller Nurse Practitioner 3525 S National Ave Ste 207, Springfield, MO 65807-7315 2006-12-27
1386722650 Mary A Keller Counselor 671 Hoes Ln, Piscataway, NJ 08854-5627 2006-11-02

Office Location

Street Address 2901 W KINNICKINNIC RIVER PKWY STE 413
City MILWAUKEE
State WI
Zip Code 53215-3660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467426064 Manohar Ahuja Internal Medicine 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 2006-02-13
1780187658 Chelsea Rae Derocha-cavalea Nurse Practitioner 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 2018-03-16
1538528336 Adam Conlin Registered Nurse 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 2016-02-22
1952779712 Jacqueline N Hale Physician Assistant 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 2015-09-10
1760805378 Jessica F Goelz Nurse Practitioner 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 2014-02-03
1982763405 Milwaukee Nephrologists, S.c. Internal Medicine 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 2006-12-08
1295809036 Kevin P. Tucker Internal Medicine 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 2006-11-20
1144279332 Andrew J. Olafsson Internal Medicine 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 2006-05-08
1679548135 Ahmed Malik Internal Medicine 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 2006-02-20
1861466161 William Cromartie Elliott Jr. Internal Medicine 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 2006-02-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841829918 Joshua Michael Brooks Student in an Organized Health Care Education/Training Program Aurora St. Lukes Medical Center 2901 W Oklahoma Ave, Milwaukee, WI 53215 2020-04-02
1053967091 Kristina Strupp Clinical Nurse Specialist 2900 W. Oaklahoma Avenue, Milwaukee, WI 53215 2019-08-15
1427510296 Madelyn Pickle Student in an Organized Health Care Education/Training Program 2801 W. Kinnickinnic Rd Ste 250, Milwaukee, WI 53215 2019-04-02
1932601838 Elizabeth D Morawski Nurse Practitioner 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 2018-03-06
1457872673 Canzata Kimberly Dent Counselor 2727 W. Cleveland Suite 204, Milwaukee, WI 53215 2017-06-28
1538689955 Christian Pena Durable Medical Equipment & Medical Supplies 2800 W Forest Home Ave, Suite 100, Milwaukee, WI 53215 2017-06-27
1386178804 Dane A Olsen Family Medicine 801 W Kinnickinnic River Pkwy., Suite 250, Milwaukee, WI 53215 2017-04-12
1811443492 Thomas Diamond Physical Therapist 2901 Kinnickinnic Parkway, Milwaukee, WI 53215 2016-09-01
1487055133 Sam Khalili Otolaryngology 2801 W Kinnickinnic River Pkwy # 680, Milwaukee, WI 53215 2014-09-12
1992105621 Nicole R Hall Nurse Practitioner 2901 S Kinnickinnic Ave, Milwaukee, WI 53215 2014-08-29
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952910010 Dana Diane Broyles Nurse Practitioner 6500 W Ohio Ave, Milwaukee, WI 53219-4246 2020-07-24
1174149918 Nicole Leigh Heding Nurse Practitioner 10421 W Birch Ave, Milwaukee, WI 53225-3211 2020-06-17
1841825759 Brittany M Schoenick Nurse Practitioner 2901 W Kinnickinnic River Pkwy Ste 102, Milwaukee, WI 53215-3660 2020-03-11
1154960201 Scottie-lynn Hecht Nurse Practitioner 1020 N 12th St Ste 102, Milwaukee, WI 53233-1308 2020-01-06
1518505064 Jennifer Nelson Nurse Practitioner 7725 W Burleigh St, Milwaukee, WI 53222-5003 2019-12-16
1861043952 Rosina Bloomingdale Norton Nurse Practitioner 1921 E Harford Ave, Milwaukee, WI 53211 2019-09-20
1275188393 Candace Bentley Nurse Practitioner 3842 N 24th St, Milwaukee, WI 53206-1423 2019-08-06
1669934022 Michaella Cariello-becker Nurse Practitioner 2500 W Layton Ave Ste 30-40, Milwaukee, WI 53221-5420 2019-04-04
1932601838 Elizabeth D Morawski Nurse Practitioner 2801 Kinnickinnic Parkway, Suite 630, Milwaukee, WI 53215 2018-03-06
1457806390 Katrina Buretta Nurse Practitioner 2901 W Kinnickinnic River Pkwy Ste 403, Milwaukee, WI 53215-3660 2016-08-21
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Competitor

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City MILWAUKEE
Zip Code 53215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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