SEDRA JO KETCHAM APRN
NPI 1578803045
Nurse Practitioner - Adult Health in South Bend, IN
About Sedra Jo Ketcham Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEDRA JO KETCHAM APRN (NPI 1578803045) is an individual adult health provider in South Bend, Indiana, licensed in Indiana (71010526A) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Sedra Jo Ketcham Aprn 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 Reassignment
Medicare enrollment records show Sedra Ketcham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Bend, IN 46601
- Reassigned Medicare billing, Indiana enrollment
- 734 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital Of South Bend
Acute Care Hospitals · South Bend, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
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 Sedra Ketcham's NPI number?
The NPI number for Sedra Ketcham is 1578803045. It was assigned to this individual provider in the NPPES registry on February 21, 2013.
Where is Sedra Ketcham located?
Sedra Ketcham practices at 615 N Michigan St 1st Fl Hospitalist Ste, South Bend, IN 46601. The listed phone number is (574) 647-3050.
What is Sedra Ketcham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Sedra Ketcham enrolled in Medicare?
Yes. Sedra Ketcham 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 organization bills Medicare for Sedra Ketcham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sedra Ketcham reassigns Medicare benefits to Beacon Medical Group, Inc. (South Bend, IN). The 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 Sedra Ketcham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sedra Ketcham accept?
Health plans from Anthem Blue Cross and Blue Shield list Sedra Ketcham 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.
Is Sedra Ketcham affiliated with any hospitals?
According to CMS data, Sedra Ketcham is affiliated with Memorial Hospital Of South Bend.
When was this NPI record last updated?
The NPPES record for Sedra Ketcham was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Sedra Jo Ketcham, APRN · NPI 1578803045
Adult Health physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since February 21, 2013.
## Identity
- **NPI:** 1578803045 (Entity type: Individual)
- **Enumerated:** February 21, 2013
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 71010526A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 N MICHIGAN ST, 1ST FL HOSPITALIST STE, South Bend, IN 46601-1033
- **Phone:** (574) 647-3050
## 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:** Beacon Medical Group, Inc. (NPI 1467408237, South Bend, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 1, 2023
- **Other identifiers:** Medicaid 300044987 (IN); Medicaid 7100256130 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1578803045) · Data from the CMS NPPES public registry.