1. Home
  2. Directory
  3. Minnesota
  4. Breckenridge
  5. Psychologist
  6. NPI Profile

DR. JAN E KETTERLING PSYD
NPI 1063542371
Psychologist - Clinical in Breckenridge, MN

Active since March 06, 2007
61.97/100
CMS Quality Rating
2400 ST FRANCIS DRIVE, HOPE UNIT ST FRANCIS MEDICAL CENTER, BRECKENRIDGE, MN 56520(218) 643-0499 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jan E Ketterling Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAN E KETTERLING PSYD (NPI 1063542371) is an individual clinical provider in Breckenridge, Minnesota, licensed in Minnesota (MN LP 4296) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1063542371
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAN E KETTERLINGCredential: PSYD
Location Address2400 ST FRANCIS DRIVE, HOPE UNIT ST FRANCIS MEDICAL CENTERBreckenridge, MN 56520
Mailing Address17975 79th St SeWahpeton, ND 58075 · (701) 642-6655
Phone(218) 643-0499
Sole ProprietorNo
Enumeration DateMarch 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063542371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · MN LP 4296
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2400 ST FRANCIS DRIVE, Breckenridge, MN 56520
Open in Google Maps ↗

Other Identifiers 2

Other11882Ndma
Other056M4KEBhsi

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

61.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.1
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON C KJAR O.T.
Occupational Therapy Assistant
2400 ST FRANCIS DRIVE
BRECKENRIDGE, MN 56520
Wilkin County (701) 274-8842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jan Ketterling's NPI number?

The NPI number for Jan Ketterling is 1063542371. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Jan Ketterling located?

Jan Ketterling practices at 2400 St Francis Drive Hope Unit St Francis Medical Center, Breckenridge, MN 56520. The listed phone number is (218) 643-0499.

What is Jan Ketterling's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jan Ketterling was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.