Mrs Nicole W Keller, PA - Medicare Physician Assistant in Fort Myers, FL

Mrs Nicole W Keller, PA is a medicare enrolled "Physician Assistant" in Fort Myers, Florida. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Genesiscare Usa Of Florida Llc and her current practice location is 39 Barkley Cir, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 936-1616.

Mrs Nicole W Keller is licensed to practice in Florida (license number PA9107690) 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 1801932009.

Contact Information

Mrs Nicole W Keller, PA
39 Barkley Cir,
Fort Myers, FL 33907-7531
(239) 936-1616
(239) 936-0837

Map and Direction




Provider's Profile

Full NameMrs Nicole W Keller
GenderFemale
SpecialityPhysician Assistant
Experience18 Years
Location39 Barkley Cir, Fort Myers, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Nicole W Keller graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1801932009
  • Provider Enumeration Date: 01/29/2007
  • Last Update Date: 02/07/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1355439092
  • Enrollment ID: I20140407000908

Medical Identifiers

Medical identifiers for Mrs Nicole W Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801932009NPI-NPPES
010911000MedicaidFL
5923925OtherFLAETNA
P01304910OtherFLRAILROAD MCR
1026853OtherFLSTAYWELL (MEDICAID) AND WELLCARE (MEDICARE).
398591OtherFLAVMED
Y0M11OtherFLBCBS
P1023102OtherFLFREEDOM
P961366OtherFLOPTIMUM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical MA052764 (Pennsylvania)Secondary
363A00000XPhysician Assistant PA9107690 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gulf Coast Medical Center Lee HealthFort myers, FLHospital
Lee Memorial HospitalFort myers, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Genesiscare Usa Of Florida Llc9830082882237

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. Mrs Nicole W 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 AddressPractice Location Address
Mrs Nicole W Keller, PA
2234 Colonial Blvd, Attn: Payer Contracting & Relations,
Fort Myers, FL 33907-1412

Ph: (239) 931-7342
Mrs Nicole W Keller, PA
39 Barkley Cir,
Fort Myers, FL 33907-7531

Ph: (239) 936-1616

Reviews and Comments


Physician Assistant Nurses in Fort Myers, FL

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Medicare: Accepting Medicare Assignments
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Phone: 239-343-2606    Fax: 239-343-3695

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.