Ms Courtney Ann Keller, PMHNP in Peoria, AZ - Medicare Nurse Practitioner

Ms Courtney Ann Keller, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Peoria, Arizona. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Physician Specialists Arizona Llc and her current practice location is 9165 W Thunderbird Rd Suite 201, Peoria, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 876-8420.

Ms Courtney Ann Keller is licensed to practice in Arizona (license number RN173592) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336307495.

Contact Information

	Ms Courtney Ann Keller, PMHNP
	9165 W Thunderbird Rd Suite 201, Peoria, AZ 85381-4847
	(623) 876-8420
	(623) 285-2626

Map and Direction

Provider's Profile

Full Name	Ms Courtney Ann Keller
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	9165 W Thunderbird Rd Suite 201, Peoria, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Courtney Ann Keller graduated from nursing school in 2014

NPI Data:

NPI Number: 1336307495
Provider Enumeration Date: 05/27/2008
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 9830250307
Enrollment ID: I20150319002123

Medical Identifiers

Medical identifiers for Ms Courtney Ann Keller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336307495	NPI	-	NPPES
054517	Medicaid	ND
979757	Medicaid	AZ
PENDING	Other	ND	TRICARE
PENDING	Other	ND	BCBS ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP7558 (Arizona)	Secondary
364SP0807X	Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent	46 (North Dakota)	Secondary
364SP0809X	Clinical Nurse Specialist - Psychiatric/mental Health, Adult	46 (North Dakota)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN173592 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Physician Specialists Arizona Llc	6204002272	255

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Courtney Ann Keller allows following entities to bill medicare on her behalf.

Entity Name	Banner Physician Specialists Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509

Entity Name	Banner Hospital Based Physicians Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Courtney Ann Keller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Courtney Ann Keller, PMHNP 9165 W Thunderbird Rd Suite 201, Peoria, AZ 85381-4847 Ph: (623) 876-8420	Ms Courtney Ann Keller, PMHNP 9165 W Thunderbird Rd Suite 201, Peoria, AZ 85381-4847 Ph: (623) 876-8420

Reviews and Comments

Nurse Practitioner Nurses in Peoria, AZ

Diana Sun Bone, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9947 West Happy Valley Parkway, # 104, Peoria, AZ 85383 Phone: 623-434-5748 Fax: 623-566-9665
Kimberly Ann Flores, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12118 W Avenida Del Rey, Peoria, AZ 85383 Phone: 419-357-0958
Jania N Davis, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16155 N 83rd Ave Ste 211, Peoria, AZ 85382 Phone: 801-369-8989
Mr. Matthew S Burrows, APRN-NP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168
Jessica Rivera, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8101 W Louise Dr, Peoria, AZ 85383 Phone: 602-327-2421 Fax: 602-297-6964
Kimia Robinson, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13460 N 94th Dr Ste J1, Peoria, AZ 85381 Phone: 623-876-8816 Fax: 623-298-0168
Mindy Rose Magoon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9815 W Keyser Dr, Peoria, AZ 85383 Phone: 602-332-1519

Ms Courtney Ann Keller, PMHNP - Medicare Nurse Practitioner in Peoria, AZ