Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ashley Johnson Keller, PA-C

Individual provider Physician Assistant · NPI 1053795120

Ashley Johnson Keller, PA-C is a Physician Assistant in Gilbert, Arizona. Qualified in 2015, 11 years ago. Practices with Banner Cancer Center Specialists LLC, a 338-clinician group and accepts Medicare assignment. Licensed in Arizona and North Carolina.

Years since qualifying
11
Licensed in
AZ, NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2946 E Banner Gateway Dr
Gilbert, AZ 85234-2165
Phone: (480) 256-6444
Fax: (480) 256-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-08006 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 6094 (AZ)

Record details

NPI number1053795120
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2015
Last updated in NPPESJuly 21, 2025
Certification dateSeptember 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Banner Cancer Center Specialists Llc — 338 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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