JAMIE L. KETTERMAN RN, BSN, CDE
NPI 1609087402
Nurse Practitioner - Family in Clinton, MO
About Jamie L. Ketterman Rn, Bsn, Cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMIE L. KETTERMAN RN, BSN, CDE (NPI 1609087402) is an individual family provider in Clinton, Missouri, licensed in Missouri (2014022528) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Western Missouri Medical Center, and maintains a secondary practice location in Clinton.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Jamie L. Ketterman Rn, Bsn, Cde 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 Jamie Ketterman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clinton, MO 64735
- Reassigned Medicare billing, Missouri enrollment
- 220 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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Western Missouri Medical Center
Acute Care Hospitals · Warrensburg, MOGolden Valley Memorial Hospital
Acute Care Hospitals · Clinton, MOSaint Luke's East Hospital
Acute Care Hospitals · Lees Summit, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64735 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Jamie Ketterman's NPI number?
The NPI number for Jamie Ketterman is 1609087402. It was assigned to this individual provider in the NPPES registry on May 24, 2007.
Where is Jamie Ketterman located?
Jamie Ketterman practices at 1602 N 2nd St, Clinton, MO 64735. The listed phone number is (660) 885-8171.
What is Jamie Ketterman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jamie Ketterman enrolled in Medicare?
Yes. Jamie Ketterman 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 Jamie Ketterman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Ketterman reassigns Medicare benefits to Golden Valley Memorial Hospital District (Clinton, MO). 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 Jamie Ketterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jamie Ketterman accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Jamie Ketterman 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 Jamie Ketterman affiliated with any hospitals?
According to CMS data, Jamie Ketterman is affiliated with Western Missouri Medical Center, Golden Valley Memorial Hospital and Saint Luke's East Hospital.
When was this NPI record last updated?
The NPPES record for Jamie Ketterman was last updated on November 16, 2021. 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.
# Jamie L. Ketterman, RN, BSN, CDE · NPI 1609087402
Family physician in Clinton, Missouri. Individual provider, active in the CMS NPPES registry since May 24, 2007.
## Identity
- **NPI:** 1609087402 (Entity type: Individual)
- **Enumerated:** May 24, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2014022528 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1602 N 2ND ST, Clinton, MO 64735-1192
- **Phone:** (660) 885-8171
## 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:** Golden Valley Memorial Hospital District (NPI 1538257183, Clinton, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 16, 2021
- **Other identifiers:** Medicaid 357499904 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1609087402) · Data from the CMS NPPES public registry.