REBEKAH ELLEN MELLOR KETTERMAN
NPI 1255923637
Nurse Practitioner - Family in Gainesville, GA

Active since February 08, 2021PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
961 GREEN ST NW, GAINESVILLE, GA 30501(770) 534-0656(770) 534-9553 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2022, Feb 8, 2021 (2 updates tracked since 2021).

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

NPI1255923637
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameREBEKAH ELLEN MELLOR KETTERMAN
Location Address961 GREEN ST NWGainesville, GA 30501-3325
Mailing Address961 Green St NwGainesville, GA 30501-3325 · (770) 534-0656 · Fax (770) 534-9553
Fax(770) 534-9553
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 8, 2021
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
NPI 1255923637 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 GA · RN195615
961 GREEN ST NW, Gainesville, GA 30501

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

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.

PECOS PAC ID3779992862
PECOS Enrollment IDI20210430001040
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
143 services101 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
51 services49 patients
X-ray of middle spine, 2 views 72070
An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.
39 services38 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
36 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

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.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

Other Providers at the Same Location NPPES

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

Family Medicine (Adult Medicine)
961 GREEN ST NW
GAINESVILLE, GA 30501

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.

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 11 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.