MRS. SUSAN MARIE KETCHEM PA-C
NPI 1841276946
Physician Assistant - Medical in Philippi, WV

Q: What is Susan Ketchem's NPI number?

The NPI number for Susan Ketchem is 1841276946. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Q: What is Susan Ketchem's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Ketchem was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 20, 2005PECOS EnrolledAccepts Medicare Assignment

116 MCCLELLAN RD, PHILIPPI, WV 26416(304) 457-2800(304) 457-4011 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Jan 21, 2023 (2 updates tracked since 2023).

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About Mrs. Susan Marie Ketchem Pa-c NPPES

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

MRS. SUSAN MARIE KETCHEM PA-C (NPI 1841276946) is an individual medical provider in Philippi, West Virginia, licensed in West Virginia (01397) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Broaddus Hospital Association, Inc, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1841276946

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. SUSAN MARIE KETCHEMCredential: PA-C

Location Address116 MCCLELLAN RDPhilippi, WV 26416-8076

Mailing Address116 Mcclellan RdPhilippi, WV 26416-8076 · (304) 457-2800 · Fax (304) 457-4011

Phone(304) 457-2800

Fax(304) 457-4011

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateDecember 20, 2005

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2023

✔ NPI 1841276946 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 WV · 01397

116 MCCLELLAN RD, Philippi, WV 26416

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Other Identifiers 3

Other1841276946WV · Mt State Bc/bs

OtherWV01397WV · The Health Plan

Medicaid3810000464WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mrs. Susan Marie Ketchem Pa-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.

PECOS PAC ID2264538172

PECOS Enrollment IDI20070509000076

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Broaddus Hospital Association, Inc

Critical Access Hospitals · Philippi, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511300

Location1 Healthcare Drive Mansfield HillPhilippi, WV 26416 · Barbour County

Emergency services

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers37 claims82 services$6.00 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers22 claims23 services$1.06 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier17 claims17 services$21.25 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier23 claims23 services$7.12 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier23 claims23 services$114.19 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers24 claims2,845 services$0.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 12

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

DR. CECIL TODD HOLBERT M.D.

Family Medicine