MS. MARTHA L KETTERIDGE N.P
NPI 1952488454
Clinical Nurse Specialist - Psychiatric/Mental Health in Huntington, NY

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
210 E MAIN ST, STE 5, HUNTINGTON, NY 11743(631) 864-1795(631) 864-1795 Get Directions Write a Review

NPPES record last updated: March 8, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Martha L Ketteridge N.p NPPES

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

MS. MARTHA L KETTERIDGE N.P (NPI 1952488454) is an individual psychiatric/mental health provider in Huntington, New York, licensed in New York (F400635) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1952488454
Entity TypeIndividualFemale
Primary Taxonomy364SP0808X
Provider Legal NameMS. MARTHA L KETTERIDGECredential: N.P
Location Address210 E MAIN ST, STE 5Huntington, NY 11743-2979
Mailing Address210 E Main St, Ste 5Huntington, NY 11743-2979 · (631) 864-1795 · Fax (631) 864-1795
Fax(631) 864-1795
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 8, 2019
NPI 1952488454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License Licensed in NY · F400635
Also ListedNurse PractitionerTaxonomy 363L00000X · License F400635 (FL)
210 E MAIN ST, Huntington, NY 11743

Other Names 1

Former Name (1)Martha L Outcault N.p

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

Ms. Martha L Ketteridge N.p 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 ID9830299874
PECOS Enrollment IDI20070817000637
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 3

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
272 services37 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
229 services35 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

Social Worker
210 E MAIN ST
HUNTINGTON, NY 11743
Dietitian, Registered
210 E MAIN ST
HUNTINGTON, NY 11743
Physician Assistant (Medical)
210 E MAIN ST
HUNTINGTON, NY 11743
Nurse Practitioner (Family)
210 E MAIN ST
HUNTINGTON, NY 11743
Family Medicine
210 E MAIN ST
HUNTINGTON, NY 11743
Family Medicine
210 E MAIN ST
HUNTINGTON, NY 11743
Nurse Practitioner (Family)
210 E MAIN ST
HUNTINGTON, NY 11743
Nurse Practitioner (Family)
210 E MAIN ST
HUNTINGTON, NY 11743

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 Martha Ketteridge's NPI number?

The NPI number for Martha Ketteridge is 1952488454. It was assigned to this individual provider in the NPPES registry on November 1, 2006. The provider is also known as Martha L Outcault N.P.

Where is Martha Ketteridge located?

Martha Ketteridge practices at 210 E Main St Ste 5, Huntington, NY 11743. The listed phone number is (631) 864-1795.

What is Martha Ketteridge's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Martha Ketteridge enrolled in Medicare?

Yes. Martha Ketteridge 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 Martha Ketteridge was last updated on March 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.