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Kristyn Keller

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928

PECOS Enrollment

Based on the most recent information from CMS, provider Kristyn Keller is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1417613779
Provider Type
Individual
Full Name
Keller, Kristyn
Title
Dr.
Credential
DNP, FNP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
11/11/2021
Last Updated
11/11/2021

Contact Information

Practice Location

1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928

(732) 937-8900

Unlisted Fax

Mailing Location

329 Maple Rd, Mount Laurel, NJ 08054-2154

(908) 328-7031

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 26NJ01152800 New Jersey

Kristyn Keller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Moran, Jenna M

Ku, Anna W

Billemeyer, Nicole

Aseltta, Julie

Vanpelt, Michelle Marie

Ejiofor, Michelle

Hernandez, Melissa

Yoon, Myung Hee

Albrecht, Catherine J

Catalano, Carolyn