SHAUNA MARIE KETCHUM RPA-C
NPI 1750617072
Physician Assistant - Medical in Brockport, NY
About Shauna Marie Ketchum Rpa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAUNA MARIE KETCHUM RPA-C (NPI 1750617072) is an individual medical provider in Brockport, New York, licensed in New York (013457-1) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Shauna Marie Ketchum Rpa-c 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rochester General Hospital
Acute Care Hospitals · Rochester, NYStrong Memorial Hospital
Acute Care Hospitals · Rochester, NYReferred Medical Equipment & Supplies CMS DME claims 2
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 Shauna Ketchum's NPI number?
The NPI number for Shauna Ketchum is 1750617072. It was assigned to this individual provider in the NPPES registry on October 21, 2009. The provider is also known as Shauna Marie Mccorry Rpa-C.
Where is Shauna Ketchum located?
Shauna Ketchum practices at 300 West Ave, Brockport, NY 14420. The listed phone number is (585) 637-3905.
What is Shauna Ketchum's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Shauna Ketchum enrolled in Medicare?
Yes. Shauna 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.
Is Shauna Ketchum affiliated with any hospitals?
According to CMS data, Shauna Ketchum is affiliated with Rochester General Hospital and Strong Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shauna Ketchum was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Shauna Marie Ketchum, RPA-C · NPI 1750617072
Medical physician in Brockport, New York. Individual provider, active in the CMS NPPES registry since October 21, 2009.
## Identity
- **NPI:** 1750617072 (Entity type: Individual)
- **Enumerated:** October 21, 2009
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 013457-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 WEST AVE, Brockport, NY 14420-1118
- **Phone:** (585) 637-3905 · **Fax:** (585) 637-4990
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** June 14, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750617072) · Data from the CMS NPPES public registry.