Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124512850 Individual Practitioner Female Practitioner

Lynn Secunde Keller , NP

Registered Nurse - General Practice • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Lynn Keller, NP is a registered healthcare professional specializing in Registered Nurse - General Practice in Boulder, CO. Practice services are available at 1477 PATTON DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1477 Patton Dr

Boulder, CO 803031258

Telephone 7209898181

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Boulder, CO (128 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License CO 130914

Definition to come...

Registered Nurse - Nurse Massage Therapist (NMT)

NUCC Taxonomy Code: 163WM1400X

State License CO 130914

Definition to come...

Nurse Practitioner - Adult Health

NUCC Taxonomy Code: 363LA2200X

State License NY F302220-1

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rn License
RN-130914 (CO)
Commercial Insurance / Payer ID Ny License
F302220-1

Secondary Practice Locations

103 W Seneca St Ste 304

Ithaca, NY 148504145

Phone: 7209898181

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 16, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2018

Registered at 1477 PATTON DR, BOULDER, CO 803031258 (Tel: 7209898181)

📍
Updated Business Mailing Address June 16, 2018

Registered at 1477 PATTON DR, BOULDER, CO 803031258 (Tel: 7209898181)

👤
Provider Name / Credentials Updated June 16, 2018

Recorded as LYNN KELLER, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2018

Registered Nurse (License #130914 in CO)

🟢
Initial NPI Registration & Enumeration June 16, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124512850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2018
Last Update: June 16, 2018
Sole Proprietor: Yes

Mailing Address

1477 Patton Dr

Boulder, CO 803031258

Phone: 7209898181

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.