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

Mrs. Nicole W. Keller, PA

Individual provider Medical Physician Assistant · NPI 1801932009

Mrs. Nicole W. Keller, PA is a Physician Assistant in Fort Myers, Florida. Qualified in 2006, 20 years ago. Practices with Precision Healthcare Specialists, LLC, a 123-clinician group and accepts Medicare assignment. Licensed in Florida and Pennsylvania.

Years since qualifying
20
Licensed in
FL, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

39 Barkley Cir
Fort Myers, FL 33907-7531
Phone: (239) 936-1616
Fax: (239) 936-0837
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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 PA9107690 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA052764 (PA)

Record details

NPI number1801932009
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESFebruary 7, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Precision Healthcare Specialists, Llc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Fort Myers