REBEKAH ELLEN MELLOR KETTERMAN
NPI 1255923637
Nurse Practitioner - Family in Gainesville, GA
About Rebekah Ellen Mellor Ketterman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBEKAH ELLEN MELLOR KETTERMAN (NPI 1255923637) is an individual family provider in Gainesville, Georgia, licensed in Georgia (RN195615) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rebekah Ellen Mellor Ketterman 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.
Medicare Billing Reassignments
2Medicare enrollment records show Rebekah Ketterman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Blairsville, GA 30512
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
Blairsville, GA 30512
- Reassigned Medicare billing, Georgia enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rebekah Ketterman's NPI number?
The NPI number for Rebekah Ketterman is 1255923637. It was assigned to this individual provider in the NPPES registry on February 8, 2021.
Where is Rebekah Ketterman located?
Rebekah Ketterman practices at 961 Green St NW, Gainesville, GA 30501. The listed phone number is (770) 534-0656.
What is Rebekah Ketterman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Rebekah Ketterman enrolled in Medicare?
Yes. Rebekah Ketterman 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.
Which organizations bill Medicare for Rebekah Ketterman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebekah Ketterman reassigns Medicare benefits to 2 organizations: Appalachian Dementia Care LLC (Blairsville, GA) and Appalachian Hospice LLC (Blairsville, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rebekah Ketterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rebekah Ketterman accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Rebekah Ketterman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rebekah Ketterman was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Rebekah Ellen Mellor Ketterman · NPI 1255923637
Family physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since February 8, 2021.
## Identity
- **NPI:** 1255923637 (Entity type: Individual)
- **Enumerated:** February 8, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN195615 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 961 GREEN ST NW, Gainesville, GA 30501-3325
- **Phone:** (770) 534-0656 · **Fax:** (770) 534-9553
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Appalachian Dementia Care LLC (NPI 1760313852, Blairsville, GA); Appalachian Hospice LLC (NPI 1790494334, Blairsville, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255923637) · Data from the CMS NPPES public registry.