Nicolette Mcdermott-ketchum, PAC

ActiveIndividual ProviderPhysician Assistant
NPI issued: October 26, 2005

Quick Facts

NPI Number
1417947813
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(928) 697-4000
StateAZ

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1417947813)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (October 26, 2005)
Data source: CMS NPPES

Provider Overview

NICOLETTE MCDERMOTT-KETCHUM, PAC is a Physician Assistant provider based in Kayenta, AZ who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1417947813
Provider TypeIndividual Provider
GenderFemale
CredentialPAC
StatusActive
Enumeration DateOctober 26, 2005

Practice Location

CityKayenta
StateAZ
ZIP Code86033
Phone(928) 697-4000

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateAZ

Mailing Address

CityKayenta
StateAZ
ZIP Code86033
Phone(928) 697-4000
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1417947813 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1417947813for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1417947813 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

Browse all Physician Assistantproviders →
📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is Nicolette Mcdermott-ketchum's NPI number?
Nicolette Mcdermott-ketchum's NPI number is 1417947813, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Nicolette Mcdermott-ketchum's NPI currently active?
Yes, Nicolette Mcdermott-ketchum's NPI status is Active as of the latest CMS NPPES database updates.
What does Nicolette Mcdermott-ketchum specialize in?
Nicolette Mcdermott-ketchum specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Nicolette Mcdermott-ketchum practice?
Nicolette Mcdermott-ketchum practices in Kayenta, AZ 86033.
When was Nicolette Mcdermott-ketchum's NPI issued?
Nicolette Mcdermott-ketchum's NPI was issued on October 26, 2005.
What is Nicolette Mcdermott-ketchum's provider type?
Nicolette Mcdermott-ketchum is registered as an Individual Provider under CMS NPI Type 1.