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

Mr. Keith Alan Deardorff

Individual provider Family Nurse Practitioner · NPI 1801131057

Mr. Keith Alan Deardorff is a Nurse Practitioner in Colorado Springs, Colorado. Qualified in 2013, 13 years ago. Practices with Maher Rehab Solutions LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Colorado and Ohio.

Years since qualifying
13
Licensed in
CO, OH
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

4763 Poleplant Dr
Colorado Springs, CO 80918-5255
Phone: (850) 305-4495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence COA.14807.NP (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APN.0996683-NP (CO)

Record details

NPI number1801131057
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 29, 2012
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Maher Rehab Solutions Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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