Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Brent Keller, PA

Individual provider Physician Assistant · NPI 1861822439

Jared Brent Keller, PA is a Physician Assistant in Rupert, Idaho. Qualified in 2013, 13 years ago. Practices with Family Health Services Corporation, a 48-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

402 6th St
Rupert, ID 83350-1619
Phone: (208) 650-7941
Fax: (208) 436-0735
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1256 (ID)

Record details

NPI number1861822439
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedNovember 19, 2013
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing address794 Eastland Dr, Twin Falls, ID 83301-6856

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Family Health Services Corporation — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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