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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KYLE KETTERER AGACNP-BC
NPI 1881513323
Nurse Practitioner - Acute Care in Granite City, IL

Active since July 10, 2026
2100 MADISON AVE, GRANITE CITY, IL 62040(618) 798-3260(618) 798-3716 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 5, 2026, Jul 10, 2026 (2 updates tracked since 2026).

About Kyle Ketterer Agacnp-bc NPPES

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

KYLE KETTERER AGACNP-BC (NPI 1881513323) is an individual acute care provider in Granite City, Illinois, licensed in Illinois (041403323) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1881513323
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameKYLE KETTERERCredential: AGACNP-BC
Location Address2100 MADISON AVEGranite City, IL 62040-4701
Mailing Address2100 Madison AveGranite City, IL 62040-4701 · (618) 798-3260 · Fax (618) 798-3716
Phone(618) 798-3260
Fax(618) 798-3716
Sole ProprietorNo
Enumeration DateJuly 10, 2026
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1881513323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IL · 041403323
2100 MADISON AVE, Granite City, IL 62040
Open in Google Maps ↗

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.

GRANITE CITY CLINIC CORP
Nurse Anesthetist, Certified Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
DR. JENNIFER ANNE LECHEVALIER PHARMD, RPH
Pharmacist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
MR. WALTER P GRIFFITH P.T.
Physical Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
AMERICAN HEALTHCARE SYSTEMS ILLINOIS LLC
Psychiatric Unit
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
TANYA VIETMEIER PTA
Physical Therapy Assistant
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3133
JANICE M PAUTLER RD,LD
Dietitian, Registered
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-5082
MR. SAMUEL W GUITHUES OT
Occupational Therapist
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (618) 798-3000
DALTON ALEXANDER HALM
Nurse Practitioner (Acute Care)
2100 MADISON AVE
GRANITE CITY, IL 62040
Madison County (619) 798-3000

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 Kyle Ketterer's NPI number?

The NPI number for Kyle Ketterer is 1881513323. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Kyle Ketterer located?

Kyle Ketterer practices at 2100 Madison Ave, Granite City, IL 62040. The listed phone number is (618) 798-3260.

What is Kyle Ketterer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Kyle Ketterer was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.