MS. REAGAN MALONE KELLER PA-C
NPI 1578230074
Student in an Organized Health Care Education/Training Program in Tulsa, OK

NPI Status: Active since August 24, 2021

Contact Information

4502 E 41ST ST
TULSA, OK
ZIP 74135
Phone: (918) 660-3842

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  • Individual
  • Female
  • Years of Experience 3
  • Student in an Organized Health Care Educ...
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About REAGAN KELLER

This page provides the complete NPI Profile along with additional information for Reagan Keller, a primary care provider established in Tulsa, Oklahoma with a medical specialization in Student In An Organized Health Care Education/training Program and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1578230074 assigned on August 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1578230074
Provider Name
MS. REAGAN MALONE KELLER PA-C
Gender
Female
Entity Type
Individual
Location Address
4502 E 41ST ST TULSA, OK 74135
Location Phone
(918) 660-3842
Mailing Address
4502 E 41ST ST TULSA, OK 74135
Mailing Phone
(918) 660-3842
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
No
Enumeration Date
08-24-2021
Last Update Date
08-24-2021
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A primary care provider (PCP) like Reagan Keller sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License State
OK
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze PPO? 202 - PPO
  • Blue Advantage Bronze PPO? 203 - PPO
  • Blue Advantage Bronze PPO? Standard - PPO
  • Blue Advantage Gold PPO? 309 - PPO
  • Blue Advantage Gold PPO? 604 - PPO
  • Blue Advantage Gold PPO? Standard - PPO
  • Blue Advantage Silver PPO? 204 - PPO
  • Blue Advantage Silver PPO? 501 - PPO
  • Blue Advantage Silver PPO? Standard - PPO
  • Blue Preferred Bronze PPO? Standard - PPO
  • Blue Preferred Gold PPO? Standard - PPO
  • Blue Preferred Security PPO? 200 - PPO
  • Blue Preferred Silver PPO? Standard - PPO
  • Balance by Medica Bronze Premier - PPO
  • Balance by Medica Catastrophic - PPO
  • Balance by Medica Expanded Bronze Standard - PPO
  • Balance by Medica Gold $0 Copay PCP Visits - PPO
  • Balance by Medica Gold Standard - PPO
  • Balance by Medica Silver $0 Copay PCP Visits - PPO
  • Balance by Medica Silver Standard - PPO
  • Harmony by Medica Bronze $0 Copay PCP Visits - PPO
  • Harmony by Medica Bronze Premier - PPO
  • Harmony by Medica Catastrophic - PPO
  • Harmony by Medica Expanded Bronze Standard - PPO
  • Harmony by Medica Gold $0 Copay PCP Visits - PPO
  • Harmony by Medica Gold Standard - PPO
  • Harmony by Medica Silver $0 Copay PCP Visits - PPO
  • Harmony by Medica Silver Standard - PPO
  • TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Reagan Keller is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Reagan Keller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5890137285

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240530003780

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Reagan Keller is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
O U MEDICAL CENTER700 NE 13TH STREET
OKLAHOMA CITY, OK 73104
(405) 271-5911Acute Care Hospitals

Reviews for MS. REAGAN MALONE KELLER PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578230074
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25148430014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 4 + 3 + 0 + 0 + 1 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1578230074 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659378735DR. NANCY C. BRAHM PHARM.D., MS
Individual
Pharmacist (Psychiatric)4502 E 41ST ST
TULSA, OK 74135
(918) 660-3579
1164414132 MELODY J YOZZO PA C
Individual
Physician Assistant4502 E 41ST ST STE 2G12
TULSA, OK 74135
(918) 660-3614
1114910171DR. SHERYL GUTIERRES PHARM.D.
Individual
Pharmacist (Pharmacotherapy)4502 E 41ST ST
TULSA, OK 74135
(918) 660-3589
1033109558DR. STEPHEN HODGES THOMAS MD
Individual
Emergency Medicine4502 E 41ST ST
TULSA, OK 74135
(918) 660-3831
1265404792MS. JO LESLIE PETTY MS ARNP
Individual
Nurse Practitioner (Family)4502 E 41ST ST
TULSA, OK 74135
(918) 660-3614
1205891231 STEFANIE J OLSON MS, CCC-SLP
Individual
Speech-Language Pathologist4502 E 41ST ST OFFICE 2J18
TULSA, OK 74135
(918) 660-3279
1265481055DR. MILTON C OLSEN LPC, PHD
Individual
Counselor (Professional)4502 E 41ST ST STE 1C18
TULSA, OK 74135
(918) 660-3130
1578510673DR. KIMBERLY M CROSBY PHARM.D.
Individual
Pharmacist (Pharmacotherapy)4502 E 41ST ST SUITE 2H38
TULSA, OK 74135
(918) 660-3588
1801987110DR. NANCY ELLEN RAY BS, PHAM. D.
Individual
Pharmacist4502 E 41ST ST
TULSA, OK 74135
(918) 660-3587
1386736619DR. GENA LEA DUPUS PHARM.D., BCPS
Individual
Pharmacist (Pharmacotherapy)4502 E 41ST ST 1H17
TULSA, OK 74135
(918) 660-3018
1053403568DR. ANN E LLOYD PHARM.D.
Individual
Pharmacist (Pharmacotherapy)4502 E 41ST ST SUITE 2H34
TULSA, OK 74135
(918) 660-3027
1114011764DR. KIRSTEN MATTHEWS WILKINS M.D.
Individual
Psychiatry & Neurology (Geriatric Psychiatry)4502 E 41ST ST DEPT OF PSYCHIATRY
TULSA, OK 74135
(918) 660-3117
1720161508 MICHAEL JAMES SMITH R.PH.
Individual
Pharmacist4502 E 41ST ST
TULSA, OK 74135
(918) 660-3001
1821135120DR. ASIMA HUSAIN M.D.
Individual
Pediatrics4502 E 41ST ST
TULSA, OK 74135
(918) 660-3416
1306983218DR. MARCUS JAMES FIDEL MD
Individual
Family Medicine4502 E 41ST ST
TULSA, OK 74135
(918) 619-4600
1083742506DR. SHAYE L BURKE DO
Individual
Internal Medicine4502 E 41ST ST
TULSA, OK 74135
(918) 557-9242
1457573172DR. MARILEE DAWN OBRITSCH PHARM.D.
Individual
Pharmacist (Pharmacotherapy)4502 E 41ST ST SUITE 2H31
TULSA, OK 74135
(918) 660-3008
1730394875DR. JACQUELYN MARIE LEBLANC
Individual
Pharmacist (Pharmacotherapy)4502 E 41ST ST SUITE 2H23
TULSA, OK 74135
(918) 660-3577
1578770327DR. JEREMY LOWELL JOHNSON PHARM. D.
Individual
Pharmacist (Pharmacotherapy)4502 E 41ST ST SUITE 2H29
TULSA, OK 74135
(918) 660-3007
1245449693MR. ALVIN ANTHONY PALMER JR. R.PH.
Individual
Pharmacist4502 E 41ST ST
TULSA, OK 74135
(918) 660-3573

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578230074, enumerated in the NPI registry as an "individual" on August 24, 2021

The provider is located at 4502 E 41st St Tulsa, Ok 74135 and the phone number is (918) 660-3842

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

The provider has more than 3 years of experience.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medica and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The practitioner is affiliated to the following hospital(s): O U MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 24, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.