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

Nicole Keller, PA

Individual provider Physician Assistant · NPI 1669129458

Nicole Keller, PA is a Physician Assistant in Sumter, South Carolina. Qualified in 2021, 5 years ago. Practices with Brian Lecher PC, a 4-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2022
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

3440 Declaration Blvd
Sumter, SC 29154-8139
Phone: (803) 905-3278
Fax: (803) 905-3282
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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 MPA.4324 (SC)

Record details

NPI number1669129458
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 2, 2022
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing address3440 Declaration Blvd, Sumter, SC 29154-8139

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Brian Lecher Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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