CHERYL KETELSEN
NPI 1770938532
Physician Assistant - Medical in San Luis Obispo, CA

Active since April 29, 2016PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
15 SANTA ROSA ST, SAN LUIS OBISPO, CA 93405(805) 541-2650(805) 541-4043 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cheryl Ketelsen NPPES

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

CHERYL KETELSEN (NPI 1770938532) is an individual medical provider in San Luis Obispo, California, licensed in California (53363) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1770938532
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameCHERYL KETELSEN
Location Address15 SANTA ROSA STSan Luis Obispo, CA 93405-1811
Mailing Address15 Santa Rosa StSan Luis Obispo, CA 93405-1811 · (805) 541-2650 · Fax (805) 541-4043
Fax(805) 541-4043
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 29, 2016
Last NPPES UpdateApril 20, 2017
NPI 1770938532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · 53363
15 SANTA ROSA ST, San Luis Obispo, CA 93405

Other Identifiers 1

Medicare UPINCB272142CA

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

Cheryl Ketelsen 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 ID143512632
PECOS Enrollment IDI20160630002385
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 28

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
24,400 services88 patients
Injection, tildrakizumab, 1 mg J3245
Tildrakizumab is a medication injected under the skin to treat moderate to severe plaque psoriasis, a skin condition. It works by reducing the effects of a substance in the body that can cause inflammation.
7,400 services28 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
3,706 services605 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
953 services778 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
884 services783 patients
Affinity, per square centimeter Q4159
Affinity per square centimeter is a measure often used in medical research. It quantifies how strongly a substance binds to a specific target, like a drug to a receptor, on a microscopic area. This measure helps understand how effective a treatment could be.
799 services39 patients

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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90.71
Improvement Activities40

Reported Quality Measures

Advance Care Plan
98%1,336 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,319 patients5/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%95 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

Physician Assistant (Medical)
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405
Dermatology (Dermatopathology)
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405
Dermatology
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405
Dermatology (MOHS-Micrographic Surgery)
15 SANTA ROSA ST
SN LUIS OBISP, CA 93405
Dermatology
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405
Dermatology
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 93405

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 Cheryl Ketelsen's NPI number?

The NPI number for Cheryl Ketelsen is 1770938532. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Cheryl Ketelsen located?

Cheryl Ketelsen practices at 15 Santa Rosa St, San Luis Obispo, CA 93405. The listed phone number is (805) 541-2650.

What is Cheryl Ketelsen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Cheryl Ketelsen enrolled in Medicare?

Yes. Cheryl Ketelsen 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.

When was this NPI record last updated?

The NPPES record for Cheryl Ketelsen was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.