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Active NPI 1366679136 Individual Practitioner Female Practitioner

Heidi N. Keller , PA-C

Physician Assistant • Mequon, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Heidi Keller, PA-C is a certified Physician Assistant practicing in Mequon, WI. With approximately 17 years of clinical experience since completing medical education in 2009, Heidi Keller delivers high-quality medical care to the local community at 6425 W MEQUON RD.

Heidi Keller is affiliated with Aurora Advanced Healthcare, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6425 W Mequon Rd

Mequon, WI 530921862

Telephone 2623878200
Associated Practice Facility / Clinic
🏢 Advanced Healthcare, S.c. Facility NPI 1841370939

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mequon, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +6.0 yrs vs City Avg
City Avg: 11.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
36 Specialists

Practicing in Mequon, WI (3517 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Keller (17 Years) 17 Yrs
Mequon Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
58 57 $1203.00 $145.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
35 33 $70.00 $6.89
99284 Emergency department visit with moderate level of medical decision making
21 21 $819.00 $100.08
99283 Emergency department visit with low level of medical decision making
17 17 $432.00 $58.80

Medical Specialties & State Licenses

CMS Verified: 2025-03-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2437-23

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100005286 (WI)

Hospital & Practice Group Affiliations

Aurora Advanced Healthcare, Inc.

8901 W Lincoln Ave, West Allis, WI 532272409

Phone: 4143295950

Aurora Advanced Healthcare, Inc.

6425 W Mequon Rd, Mequon, WI 530921855

Phone: 2622420051

Aurora Advanced Healthcare, Inc.

3289 N Mayfair Rd, Wauwatosa, WI 532223203

Phone: 4147717900

Aurora Advanced Healthcare, Inc.

3003 W Good Hope Rd, Milwaukee, WI 532092042

Phone: 4143523100

Aurora Advanced Healthcare, Inc.

215 W Washington St, Grafton, WI 530241700

Phone: 2623753700

Aurora Advanced Healthcare, Inc.

12203 N Corporate Pkwy, Mequon, WI 530923388

Phone: 2623878200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1053499905

Family Nurse Practitioner

Pamela Lee , CDE

Registered Nurse - Diabetes Educator

NPI 1063680593

Certified Diabetes Educator

Dr. Shawn Patel , DO

Family Medicine

NPI 1073008025

Doctor of Osteopathic Medicine (D.O.)

NPI 1093817496

Doctor of Medicine (M.D.)

Dr. Norine Nazareth , MD

Internal Medicine

NPI 1104856244

Doctor of Medicine (M.D.)

Dr. Luke Rehrauer , MD

Internal Medicine

NPI 1124050364

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 31, 2025

Registered at 6425 W MEQUON RD, MEQUON, WI 530921862 (Tel: 2623878200)

📍
Updated Business Mailing Address March 31, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍
Updated Business Mailing Address January 03, 2019

Registered at 3862 S LAKE DR UNIT 406, SAINT FRANCIS, WI 532355231 (Tel: 8158617035)

👤
Provider Name / Credentials Updated January 03, 2019

Recorded as HEIDI KELLER, PA-C

NPI Profile Active June 26, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2009

Registered at 2900 W OKLAHOMA AVE, MILWAUKEE, WI 532154330 (Tel: 4146496000)

📍
Updated Business Mailing Address June 26, 2009

Registered at 4003 E KEITH DR, RICHMOND, IL 600719779 (Tel: 8158617035)

👤
Provider Name / Credentials Updated June 26, 2009

Recorded as HEIDI SUND, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2009

Physician Assistant (License #2437-23 in WI)

🟢
Initial NPI Registration & Enumeration June 18, 2009

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: 1366679136
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2009
Last Update: March 31, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.