LOGAN MARIE KETCHUM DC
NPI 1639643117
Chiropractor in Mattawan, MI

Q: What is Logan Ketchum's NPI number?

The NPI number for Logan Ketchum is 1639643117. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Q: What is Logan Ketchum's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Logan Ketchum was last updated on April 14, 2022. 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.

Active since January 17, 2019Accepts Medicare Assignment

24285 RED ARROW HWY STE A, MATTAWAN, MI 49071(269) 399-4690 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2022, Mar 4, 2020, Jan 17, 2019 (3 updates tracked since 2019).

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About Logan Marie Ketchum Dc NPPES

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

LOGAN MARIE KETCHUM DC (NPI 1639643117) is an individual chiropractor in Mattawan, Michigan, licensed in Michigan (2301010763) and active in the NPI registry since January 2019. She maintains 2 additional practice locations and is a graduate of Palmer College Chiropractic - Davenport (2018).

NPPES Registry Identity

NPI1639643117

Entity TypeIndividualFemale

Primary Taxonomy111N00000X

Provider Legal NameLOGAN MARIE KETCHUMCredential: DC

Location Address24285 RED ARROW HWY STE AMattawan, MI 49071-7700

Mailing Address24285 Red Arrow Hwy Ste AMattawan, MI 49071-7700 · (269) 399-4690

Phone(269) 399-4690

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - DavenportGraduated 2018

Enumeration DateJanuary 17, 2019

Last NPPES UpdateApril 14, 20223 updates tracked since enumeration

NPPES CertifiedApril 14, 2022

✔ NPI 1639643117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MI · 2301010763

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

24285 RED ARROW HWY STE A, Mattawan, MI 49071

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Secondary Practice Locations 2

Location 17901 S 12th St Ste 201Portage, MI 49024-3831 · Phone (269) 324-5000

Location 28175 Creekside Dr Ste 110Portage, MI 49024-5370 · Phone (269) 324-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Logan Marie Ketchum Dc 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 ID4183961451

PECOS Enrollment IDI20190124000370

Other Providers at the Same Location NPPES

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

MIDWEST CHIROPRACTIC AND REHAB LLC

Chiropractor

24285 RED ARROW HWY STE A
MATTAWAN, MI 49071

Van Buren County (269) 492-8795

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 Logan Ketchum's NPI number?

The NPI number for Logan Ketchum is 1639643117. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Where is Logan Ketchum located?

Logan Ketchum practices at 24285 Red Arrow Hwy Ste A, Mattawan, MI 49071. The listed phone number is (269) 399-4690.

What is Logan Ketchum's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Logan Ketchum enrolled in Medicare?

Yes. Logan Ketchum 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 Logan Ketchum accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Logan Ketchum 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 Logan Ketchum was last updated on April 14, 2022. 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.