Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BEVERLY E KETCHEN NP
NPI 1689633489
Nurse Practitioner in Medford, MA

Q: What is Beverly Ketchen's NPI number?

The NPI number for Beverly Ketchen is 1689633489. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Q: What is Beverly Ketchen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Beverly Ketchen was last updated on July 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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 21, 2006PECOS Enrolled

26 CITY HALL MALL, MEDFORD, MA 02155(781) 306-5100 Get Directions Write a Review

NPPES record last updated: July 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2026, Jan 5, 2021, Oct 27, 2020 (3 updates tracked since 2020).

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About Beverly E Ketchen Np NPPES

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

BEVERLY E KETCHEN NP (NPI 1689633489) is an individual nurse practitioner in Medford, Massachusetts, licensed in Massachusetts (110231) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689633489

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameBEVERLY E KETCHENCredential: NP

Location Address26 CITY HALL MALLMedford, MA 02155-4754

Mailing Address26 City Hall MallMedford, MA 02155-4754 · (781) 306-5100

Phone(781) 306-5100

Sole ProprietorNo

Enumeration DateMarch 21, 2006

Last NPPES UpdateJuly 12, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2021

✔ NPI 1689633489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · 110231

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 110231 (MA)

26 CITY HALL MALL, Medford, MA 02155

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Other Identifiers 3

OtherN409MA · Harvard Pilgrim

OtherNP1624MA · Blue Cross

Medicaid0359980MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beverly E Ketchen Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02155 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

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.

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