Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey Lynn Keller, PA-C

Individual provider Physician Assistant · NPI 1831441831

Stacey Lynn Keller, PA-C is a Physician Assistant in North Canton, Ohio. Qualified in 2012, 14 years ago. Practices with Jackson Family Practice Inc, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7072 Mears Gate Dr NW
North Canton, OH 44720-8850
Phone: (330) 966-1319
Fax: (330) 966-1321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50003643 (OH)
Physician Assistant Taxonomy 363A00000X · Licence 50-003643 (OH)

Record details

NPI number1831441831
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2012
Last updated in NPPESMarch 14, 2022
Certification dateOctober 7, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Jackson Family Practice Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in North Canton