MICHELLE KETHCART APN
NPI 1104392497
Nurse Practitioner - Family in Maywood, IL
About Michelle Kethcart Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE KETHCART APN (NPI 1104392497) is an individual family provider in Maywood, Illinois, licensed in Illinois (209018213) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michelle Kethcart Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 Michelle Kethcart's NPI number?
The NPI number for Michelle Kethcart is 1104392497. It was assigned to this individual provider in the NPPES registry on October 15, 2018.
Where is Michelle Kethcart located?
Michelle Kethcart practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9000.
What is Michelle Kethcart's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Michelle Kethcart enrolled in Medicare?
Yes. Michelle Kethcart is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michelle Kethcart was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.