JUSTIN KETTELL FNP
NPI 1346174273
Nurse Practitioner - Family in Washington, DC

Q: What is Justin Kettell's NPI number?

The NPI number for Justin Kettell is 1346174273. It was assigned to this individual provider in the NPPES registry on June 8, 2026.

Q: What is Justin Kettell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Kettell was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 08, 2026PECOS Enrolled

4414 BENNING RD NE, WASHINGTON, DC 20019(202) 469-4699 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Justin Kettell Fnp NPPES

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

JUSTIN KETTELL FNP (NPI 1346174273) is an individual family provider in Washington, District Of Columbia, licensed in District Of Columbia (F05260376) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346174273

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJUSTIN KETTELLCredential: FNP

Location Address4414 BENNING RD NEWashington, DC 20019-4555

Mailing Address4414 Benning Rd NeWashington, DC 20019-4555

Phone(202) 469-4699

Sole ProprietorNo

Enumeration DateJune 8, 2026

Last NPPES UpdateJuly 31, 2026

NPPES CertifiedJuly 31, 2026

✔ NPI 1346174273 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 DC · F05260376

4414 BENNING RD NE, Washington, DC 20019

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Kettell Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20019 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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 20

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

MONICA AJINKYA MD

Family Medicine