ALICIA HAGENAU KETCHUM ARNP-C
NPI 1588080501
Nurse Practitioner - Family in Spring Hill, FL

Q: What is Alicia Ketchum's NPI number?

The NPI number for Alicia Ketchum is 1588080501. It was assigned to this individual provider in the NPPES registry on March 14, 2014.

Q: What is Alicia Ketchum'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 Alicia Ketchum was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 March 14, 2014PECOS Enrolled

120 MEDICAL BLVD, STE 102, SPRING HILL, FL 34609(352) 686-0086(352) 684-2081 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2017, Aug 31, 2016 (2 updates tracked since 2016).

On this page

About Alicia Hagenau Ketchum Arnp-c NPPES

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

ALICIA HAGENAU KETCHUM ARNP-C (NPI 1588080501) is an individual family provider in Spring Hill, Florida, licensed in Florida (ARNP9278289) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588080501

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameALICIA HAGENAU KETCHUMCredential: ARNP-C

Location Address120 MEDICAL BLVD, STE 102Spring Hill, FL 34609-0220

Mailing Address14690 Spring Hill Dr, Ste 100 Attn:credentialingSpring Hill, FL 34609-8102 · (352) 799-0046 · Fax (352) 606-2857

Phone(352) 686-0086

Fax(352) 684-2081

Sole ProprietorNo

Enumeration DateMarch 14, 2014

Last NPPES UpdateFebruary 20, 20172 updates tracked since enumeration

✔ NPI 1588080501 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 FL · ARNP9278289

120 MEDICAL BLVD, Spring Hill, FL 34609

Open in Google Maps ↗

Other Identifiers 1

Medicaid016886300FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia Hagenau Ketchum Arnp-c 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.

Areas of Expertise CMS Part B claims 2

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

183 services51 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34609 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

1 supplier14 claims14 services$8.78 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier11 claims330 services$0.06 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$11.43 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

SPRING HILL HMA MEDICAL GROUP, LLC

Internal Medicine

120 MEDICAL BLVD, SUITE 106
SPRING HILL, FL 34609

Hernando County (239) 598-3131

PINNACLE FAMILY MEDICINE PA

Family Medicine

120 MEDICAL BLVD, SUITE 108
SPRING HILL, FL 34609

Hernando County (352) 688-2118

NORTH TAMPA ORTHOPAEDICS SPORTS MEDICINE PA

Orthopaedic Surgery

120 MEDICAL BLVD, SUITE 109
SPRING HILL, FL 34609

Hernando County (352) 683-0007

MILLENNIUM PHYSICIAN GROUP LLC

Family Medicine

120 MEDICAL BLVD
SPRING HILL, FL 34609

Hernando County (352) 340-2115

LESLIE A WAGENBERG-GRELLA M.D.

Surgery

120 MEDICAL BLVD, SUITE 106
SPRING HILL, FL 34609

Hernando County (352) 684-1340

MR. EDGAR E LAMBERT JR. LMT

Massage Therapist

120 MEDICAL BLVD, SUITE 102
SPRING HILL, FL 34609

Hernando County (352) 686-0086

FIRST CHOICE FAMILY MEDICAL CENTER, PA

Family Medicine

120 MEDICAL BLVD, SUITE 102
SPRING HILL, FL 34609

Hernando County (352) 686-0086

EMMED, P.A.

Family Medicine

120 MEDICAL BLVD, STE #106
SPRING HILL, FL 34609

Hernando County (727) 359-3779

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 Alicia Ketchum's NPI number?

The NPI number for Alicia Ketchum is 1588080501. It was assigned to this individual provider in the NPPES registry on March 14, 2014.

Where is Alicia Ketchum located?

Alicia Ketchum practices at 120 Medical Blvd Ste 102, Spring Hill, FL 34609. The listed phone number is (352) 686-0086.

What is Alicia Ketchum's specialty?

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

Is Alicia Ketchum enrolled in Medicare?

Yes. Alicia Ketchum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alicia Ketchum was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.