SARA KETCHUM CRNA
NPI 1720426802
Nurse Anesthetist, Certified Registered in Saint Cloud, MN
About Sara Ketchum Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SARA KETCHUM CRNA (NPI 1720426802) is an individual nurse anesthetist, certified registered in Saint Cloud, Minnesota, licensed in Minnesota (R 183904-7) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2013).
NPPES Registry Identity
Specialties & Licenses
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
Sara Ketchum Crna 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 Reassignments
9Medicare enrollment records show Sara Ketchum reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Becker, MN 55308
- Reassigned Medicare billing, Minnesota enrollment
- 52 clinicians in this Medicare group
Annandale, MN 55302
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Princeton, MN 55371
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Maple Grove, MN 55369
- Reassigned Medicare billing, Minnesota enrollment
- 226 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 681 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 131 clinicians in this Medicare group
Hibbing, MN 55746
- Reassigned Medicare billing, Minnesota enrollment
- 707 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
ST CLOUD, MN 56303
SAINT CLOUD, MN 56303
ST CLOUD, MN 56303
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 Sara Ketchum's NPI number?
The NPI number for Sara Ketchum is 1720426802. It was assigned to this individual provider in the NPPES registry on June 11, 2013.
Where is Sara Ketchum located?
Sara Ketchum practices at 3701 12th St N Suite 202, Saint Cloud, MN 56303. The listed phone number is (320) 258-3090.
What is Sara Ketchum's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Sara Ketchum enrolled in Medicare?
Yes. Sara 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.
Which organizations bill Medicare for Sara Ketchum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sara Ketchum reassigns Medicare benefits to 9 organizations: Central Minnesota Anesthesia Providers, PA (Becker, MN), Allina Health System (Annandale, MN), Fairview Health Services (Princeton, MN), Fairview Maple Grove Surgery Center, LLC (Maple Grove, MN), Metropolitan Anesthesia Network, LLP (Plymouth, MN) and 4 more organizations, listed in the Medicare section above. Each 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 Sara Ketchum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sara Ketchum accept?
Health plans from Sanford Health Plan list Sara 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 Sara Ketchum was last updated on June 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Sara Ketchum, CRNA · NPI 1720426802
Nurse Anesthetist, Certified Registered physician in Saint Cloud, Minnesota. Individual provider, active in the CMS NPPES registry since June 11, 2013.
## Identity
- **NPI:** 1720426802 (Entity type: Individual)
- **Enumerated:** June 11, 2013
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R 183904-7 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3701 12TH ST N, SUITE 202, Saint Cloud, MN 56303-2255
- **Phone:** (320) 258-3090 · **Fax:** (320) 258-3095
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Central Minnesota Anesthesia Providers, PA (NPI 1881689974, Becker, MN); Allina Health System (NPI 1457657249, Annandale, MN); Fairview Health Services (NPI 1922085299, Princeton, MN); Fairview Maple Grove Surgery Center, LLC (NPI 1730068032, Maple Grove, MN); Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2013
## Record status
- **NPPES last updated:** June 11, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1720426802) · Data from the CMS NPPES public registry.