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

Ranita R Keller, FNP

Individual provider Family Nurse Practitioner · NPI 1083096895

Ranita R Keller, FNP is a Nurse Practitioner in Edwardsville, Illinois. Qualified in 2015, 11 years ago. Practices with Fairview Heights Medical Group SC, a 448-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
11
Licensed in
IL, MO
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2122 Troy Rd Ste 130
Edwardsville, IL 62025-2540
Phone: (618) 800-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2 Cottonwood Rd, Glen Carbon, IL 62034-2782 — (314) 687-2663

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 277000539 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 2015032216 (MO)

Record details

NPI number1083096895
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fairview Heights Medical Group Sc — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Edwardsville