CMS-1500 Box 24J / 33a • NPI
1568047686
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363LP0808X (CMS 50)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health
Box 32 Service Location & ZIP+4
127 NH-28, SUITE 3, OSSIPEE, NH, 03864
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1568047686 (JENNIFER L KELLER, MSN, BSW, PMHNP-BC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1568047686)
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Bupropion Hcl Sr Bupropion Hcl | 16 | <11 |
| Bupropion Xl Bupropion Hcl | 11 | <11 |
| Gabapentin Gabapentin | 20 | <11 |
| Mirtazapine Mirtazapine | 20 | <11 |
| Quetiapine Fumarate Quetiapine Fumarate | 20 | <11 |
| Risperidone Risperidone | 16 | <11 |
| Sertraline Hcl Sertraline Hcl | 41 | <11 |
| Vraylar Cariprazine Hcl | 12 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1568047686 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | JENNIFER L KELLER, MSN, BSW, PMHNP-BC |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health NUCC Code: 363LP0808X (Nurse Practitioner, Psych/Mental Health) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 127 NH-28, SUITE 3, OSSIPEE, NH, 03864 |
| Practice Telephone / Fax | Tel: (603) 651-8835 | Fax: (603) 316-6035 |
| Administrative Mailing Address | PO BOX 680, OSSIPEE, NH, 03864-0680 |
| Enumeration & Last Sync | Enumerated: 2021-03-10 | CMS Record Updated: 2026-03-27 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363LP0808X)
What Does Taxonomy Code 363LP0808X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP0808X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (JENNIFER L KELLER, MSN, BSW, PMHNP-BC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363LP0808X — Nurse Practitioner, Psych/Mental HealthPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Psychiatric — Mental Health | State: NH | License: 084560-23 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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