JAMIE L. KETTERMAN RN, BSN, CDE
NPI 1609087402
Nurse Practitioner - Family in Clinton, MO

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
1602 N 2ND ST, CLINTON, MO 64735(660) 885-8171 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2021, Jun 2, 2020, Jan 3, 2020 and 1 more (4 updates tracked since 2019).

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 Golden Valley Memorial Hospital, and maintains a secondary practice location in Clinton.

NPPES Registry Identity

NPI1609087402
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJAMIE L. KETTERMANCredential: RN, BSN, CDE
Location Address1602 N 2ND STClinton, MO 64735-1192
Mailing Address1602 N 2nd StClinton, MO 64735-1192 · (660) 885-8171 · Fax (660) 890-8422
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 24, 2007
Last NPPES UpdateNovember 16, 20214 updates tracked since enumeration
NPPES CertifiedNovember 16, 2021
NPI 1609087402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2014022528
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 2000162289 (MO)
1602 N 2ND ST, Clinton, MO 64735

Secondary Practice Location 1

Location 1603 E Gaines DrClinton, MO 64735-3205 · Phone (660) 885-8141 · Fax (660) 885-5815

Other Identifiers 1

Medicaid357499904MO

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID3779616701
PECOS Enrollment IDI20141006001002
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.

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.
66 services66 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Golden Valley Memorial Hospital

Acute Care Hospitals · Clinton, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260175
Location1600 N 2nd StClinton, MO 64735 · Henry County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician 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.

New Patient
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers12 claims152 services$19.22 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers12 claims485 services$2.43 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers28 claims78 services$6.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$19.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers34 claims34 services$113.14 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$38.23 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 20

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

Nurse Practitioner (Family)
1602 N 2ND ST
CLINTON, MO 64735
Family Medicine
1602 N 2ND ST
CLINTON, MO 64735
Internal Medicine
1602 N 2ND ST
CLINTON, MO 64735
Family Medicine
1602 N 2ND ST
CLINTON, MO 64735
Physician Assistant (Medical)
1602 N 2ND ST
CLINTON, MO 64735
Social Worker
1602 N 2ND ST
CLINTON, MO 64735
Nurse Practitioner (Family)
1602 N 2ND ST
CLINTON, MO 64735
Pediatrics
1602 N 2ND ST
CLINTON, MO 64735

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.

What insurance does Jamie Ketterman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 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 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.