MICHAEL P KETZAK NP
NPI 1356794903
Nurse Practitioner - Psychiatric/Mental Health in Binghamton, NY

Q: What is Michael Ketzak's NPI number?

The NPI number for Michael Ketzak is 1356794903. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Q: What is Michael Ketzak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michael Ketzak was last updated on June 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 19, 2016PECOS Enrolled

425 ROBINSON ST, BINGHAMTON, NY 13904(607) 797-0680(607) 797-4315 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michael P Ketzak Np NPPES

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

MICHAEL P KETZAK NP (NPI 1356794903) is an individual psychiatric/mental health provider in Binghamton, New York, licensed in New York (F402042-1) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356794903

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMICHAEL P KETZAKCredential: NP

Location Address425 ROBINSON STBinghamton, NY 13904-1735

Mailing Address425 Robinson StBinghamton, NY 13904-1735 · (607) 797-0680 · Fax (607) 797-4315

Phone(607) 797-0680

Fax(607) 797-4315

Sole ProprietorNo

Enumeration DateJuly 19, 2016

Last NPPES UpdateJune 22, 2022

NPPES CertifiedJune 22, 2022

✔ NPI 1356794903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F402042-1

425 ROBINSON ST, Binghamton, NY 13904

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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)

Michael P Ketzak Np 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 13904 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

DR. PAULINA BAJSAROWICZ M.D.

Psychiatry & Neurology (Geriatric Psychiatry)