NPI age
12 years
Enumerated 2013-11-19
● Active
Type 1 · Individual
Jared Brent Keller, P.A.
Keller is 1 of 2 physician assistant providers in Rupert and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-03-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
12 years
↑ 3 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-11Enumerated in NPPES
2013
2026
Where they practice
Practice location
402 6th St
Rupert, ID 833501619
Mailing address
794 Eastland Dr
Twin Falls, ID 833016856
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MO) | 2013041111 | MISSOURI LICENSE 2013041111 |
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.