Individual provider Active NPI

Katie Lynn Kettler, APRN, FNP-C

  • Family Nurse Practitioner
  • Hiawatha, KS
National Provider Identifier
1437909504
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-83030-021 Issued in KS
Practice address
300 Utah St
Hiawatha, KS 66434-2326
Phone
(785) 742-2131
Fax
(785) 742-6504
NPI assigned
Mar 22, 2024
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-83030-021 KS Primary

Addresses

Primary practice location

300 Utah St
Hiawatha, KS 66434-2326

Mailing address

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Other practice location 1

800 Ravenhill Dr Ste 108
Atchison, KS 66002-9204
Phone (913) 367-2131

Other identifiers 4

IdentifierTypeStateIssuer
420155503MedicaidMO
10028845801MedicaidNE
16289128OtherKSPTAN
30005120520001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425000415 KS Practitioner - Nurse Practitioner 6608216684 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hiawatha Hospital Association IncGroup PAC ID 9032007364, shared by 5 NPIs, 47 clinicians
Amberwell Atchison AssociationGroup PAC ID 2466363858, 54 clinicians

Practice addresses (Care Compare)

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-2131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-83030-021KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Hospital Association Inc CurrentSince Oct 1, 2025 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Mar 18, 2024 Accepting new patients
Amberwell Atchison Association Family CurrentSince Mar 18, 2024 Accepting new patients
Amberwell Atchison Association CurrentSince Mar 18, 2024 Accepting new patients
Hiawatha Hospital Association Inc Family CurrentSince Mar 18, 2024 Accepting new patients
Amberwell Atchison Association CurrentSince Oct 22, 2025 Accepting new patients
Amberwell Atchison Association Past Accepting new patients

Locations

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

800 Ravenhill Dr
Ste 108
Atchison, KS 66002
Phone (913) 360-5360

810 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-7300

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

300 Utah St
Ste 200
Hiawatha, KS 66434
Phone (785) 742-2161

311 W Locust St
Troy, KS 66087
Phone (785) 985-3504

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1437909504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 UTAH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342326",
            "telephone_number": "785-742-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 UTAH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342326",
            "telephone_number": "785-742-2131",
            "fax_number": "785-742-6504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Ravenhill Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660029204",
            "country_code": "US",
            "telephone_number": "913-367-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETTLER",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83030-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420155503",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10028845801",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "16289128",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005120520001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, KS

Sources for this page

Verify at the official NPI Registry.