JUDY HWANG KETCHAM RN, FNP
NPI 1245615020
Nurse Practitioner - Family in San Diego, CA

Active since July 22, 2015PECOS EnrolledAccepts Medicare Assignment
3131 BERGER AVE, SAN DIEGO, CA 92123(858) 244-6800 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Judy Hwang Ketcham Rn, Fnp NPPES

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

JUDY HWANG KETCHAM RN, FNP (NPI 1245615020) is an individual family provider in San Diego, California, licensed in California (95002778) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Burlingame, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1245615020
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUDY HWANG KETCHAMCredential: RN, FNP
Location Address3131 BERGER AVESan Diego, CA 92123-4233
Mailing Address3131 Berger AveSan Diego, CA 92123-4233 · (352) 359-2682
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 22, 2015
Last NPPES UpdateMarch 28, 2019
NPI 1245615020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95002778
3131 BERGER AVE, San Diego, CA 92123

Other Names 1

Former Name (1)Judy Chianyiao Hwang

Secondary Practice Location 1

Location 11828 El Camino Real Ste 706Burlingame, CA 94010-3122 · Phone (650) 777-9117

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Judy Hwang Ketcham Rn, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486962206
PECOS Enrollment IDI20230816000068
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Infectious Disease)
3131 BERGER AVE, SUITE 200
SAN DIEGO, CA 92123
Internal Medicine (Clinical Cardiac Electrophysiology)
3131 BERGER AVE, SUITE 200
SAN DIEGO, CA 92123
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3131 BERGER AVE
SAN DIEGO, CA 92123
Internal Medicine (Cardiovascular Disease)
3131 BERGER AVE
SAN DIEGO, CA 92123
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3131 BERGER AVE, SUITE 200
SAN DIEGO, CA 92123
Physician Assistant
3131 BERGER AVE
SAN DIEGO, CA 92123
Internal Medicine (Interventional Cardiology)
3131 BERGER AVE, SUITE 200
SAN DIEGO, CA 92123
Internal Medicine (Cardiovascular Disease)
3131 BERGER AVE
SAN DIEGO, CA 92123

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 Judy Ketcham's NPI number?

The NPI number for Judy Ketcham is 1245615020. It was assigned to this individual provider in the NPPES registry on July 22, 2015. The provider is also known as Judy Chianyiao Hwang.

Where is Judy Ketcham located?

Judy Ketcham practices at 3131 Berger Ave, San Diego, CA 92123. The listed phone number is (858) 244-6800.

What is Judy Ketcham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Judy Ketcham enrolled in Medicare?

Yes. Judy Ketcham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Judy Ketcham was last updated on March 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.