JASMINE KETTLEY PA-C
NPI 1942514708
Physician Assistant - Surgical in Sacramento, CA
About Jasmine Kettley Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JASMINE KETTLEY PA-C (NPI 1942514708) is an individual surgical provider in Sacramento, California, licensed in California (PA21683) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jasmine Kettley Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 13
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 Jasmine Kettley's NPI number?
The NPI number for Jasmine Kettley is 1942514708. It was assigned to this individual provider in the NPPES registry on August 3, 2010.
Where is Jasmine Kettley located?
Jasmine Kettley practices at 3701 J St Suite # 109, Sacramento, CA 95816. The listed phone number is (734) 358-7418.
What is Jasmine Kettley's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jasmine Kettley enrolled in Medicare?
Yes. Jasmine Kettley is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jasmine Kettley was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jasmine Kettley, PA-C · NPI 1942514708
Surgical physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since August 3, 2010.
## Identity
- **NPI:** 1942514708 (Entity type: Individual)
- **Enumerated:** August 3, 2010
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA21683 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3701 J ST, SUITE # 109, Sacramento, CA 95816-5562
- **Phone:** (734) 358-7418
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1942514708) · Data from the CMS NPPES public registry.