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ANASTASIA K KETKO M.D.
NPI 1548434772
Pediatrics - Neonatal-Perinatal Medicine in Maple Grove, MN

Active since April 18, 2008PECOS Enrolled
9325 UPLAND LANE N, SUITE 360, MAPLE GROVE, MN 55369(612) 813-6475 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 17, 2024, Jan 17, 2019 (2 updates tracked since 2019).

About Anastasia K Ketko M.d. NPPES

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

ANASTASIA K KETKO M.D. (NPI 1548434772) is an individual neonatal-perinatal medicine provider in Maple Grove, Minnesota, licensed in Minnesota (57795) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548434772
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameANASTASIA K KETKOCredential: M.D.
Location Address9325 UPLAND LANE N, SUITE 360Maple Grove, MN 55369
Mailing Address9325 Upland Lane N, Suite 360Maple Grove, MN 55369 · (612) 813-6475
Phone(612) 813-6475
Sole ProprietorNo
Enumeration DateApril 18, 2008
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
✔ NPI 1548434772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in MN · 57795✔ Licensed in MI · 4301097959✔ Licensed in ND · 15366
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
9325 UPLAND LANE N, Maple Grove, MN 55369
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anastasia K Ketko M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Anastasia Ketko reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allina Health System
2.6 mi
Clinic/Center
7840 VINEWOOD LN N
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
NPI 1730485186 (763) 236-0200
The Duluth Clinic Ltd
120 mi
Multi-Specialty
1413 HIGHWAY 33 S
Cloquet, MN 55720
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
NPI 1902563638 (218) 337-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

AARON WENDELL SWENSON M.D.
Pediatrics (Neonatal-Perinatal Medicine)
9325 UPLAND LANE N, SUITE 360
MAPLE GROVE, MN 55369
Hennepin County (612) 322-6903
JEANNE D MROZEK MD
Pediatrics (Neonatal-Perinatal Medicine)
9325 UPLAND LANE N, SUITE 360
MAPLE GROVE, MN 55369
Hennepin County (612) 813-6475
SPINE & SPORTS INSTITUTE
Chiropractor (Sports Physician)
9325 UPLAND LANE N, SUITE 230
MAPLE GROVE, MN 55369
Hennepin County (763) 315-0466
DR. BONNIE GAIL LANDRUM MD
Pediatrics (Neonatal-Perinatal Medicine)
9325 UPLAND LANE N, SUITE 360
MAPLE GROVE, MN 55369
Hennepin County (612) 813-6475
DR. NEIL P MULROONEY MD
Pediatrics (Neonatal-Perinatal Medicine)
9325 UPLAND LANE N, SUITE 360
MAPLE GROVE, MN 55369
Hennepin County (414) 805-3666
DR. NINA RACHEL PERDUE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
9325 UPLAND LANE N, SUITE 360
MAPLE GROVE, MN 55369
Hennepin County (612) 813-6475
DR. JANE ELIZABETH BARTHELL M.D.
Pediatrics (Neonatal-Perinatal Medicine)
9325 UPLAND LANE N, SUITE 360
MAPLE GROVE, MN 55369
Hennepin County (612) 322-6903

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 Anastasia Ketko's NPI number?

The NPI number for Anastasia Ketko is 1548434772. It was assigned to this individual provider in the NPPES registry on April 18, 2008.

Where is Anastasia Ketko located?

Anastasia Ketko practices at 9325 Upland Lane N Suite 360, Maple Grove, MN 55369. The listed phone number is (612) 813-6475.

What is Anastasia Ketko's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Anastasia Ketko enrolled in Medicare?

Yes. Anastasia Ketko is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Anastasia Ketko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anastasia Ketko reassigns Medicare benefits to 2 organizations: Allina Health System (Maple Grove, MN) and The Duluth Clinic Ltd (Cloquet, MN). 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 Anastasia Ketko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anastasia Ketko accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Anastasia Ketko 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 Anastasia Ketko was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.