Active NPI
Katie Lynn Kettler, APRN, FNP-C
- Family Nurse Practitioner
- Hiawatha, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-83030-021
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420155503 | Medicaid | MO | |
| 10028845801 | Medicaid | NE | |
| 16289128 | Other | KS | PTAN |
| 30005120520001 | Medicaid | KS |
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
Enrollment records 1
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 53-83030-021 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hiawatha Hospital Association Inc | Current | Accepting new patients | |
| Hiawatha Hospital Association Inc | Current | Accepting new patients | |
| Amberwell Atchison Association | Family | Current | Accepting new patients |
| Amberwell Atchison Association | Current | Accepting new patients | |
| Hiawatha Hospital Association Inc | Family | Current | Accepting new patients |
| Amberwell Atchison Association | Current | 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.
-
dba Amberwell Atchison
- Critical Access Hospital
- Atchison, KS
- NPI 1932151487
-
dba Amberwell Hiawatha
- Critical Access Hospital
- Hiawatha, KS
- NPI 1255421210
-
dba Amberwell Hiawatha
- Nutrition Education Nutritionist
- Hiawatha, KS
- NPI 1518572395
-
dba Amberwell Atchison Professional Services
- Family Medicine Physician
- Atchison, KS
- NPI 1528450913
-
dba Herington Clinic
- Rural Health Clinic/Center
- Herington, KS
- NPI 1700669819
-
dba Amberwell Hiawatha Professional Services
- Family Medicine Physician
- Hiawatha, KS
- NPI 1831273044
-
dba Amberwell Occupational Health
- Occupational Medicine Physician
- Atchison, KS
- NPI 1609244508
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Amberwell Atchison
- Critical Access Hospital
- Atchison, KS
- NPI 1932151487
-
dba Amberwell Hiawatha
- Critical Access Hospital
- Hiawatha, KS
- NPI 1255421210
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
- Kanza Mental Health and Guidance Center
- Kanza Mental Health and Guidance Center Alcohol and Drug
- Kanza Mental Health and Guidance Center, Inc.
- Kanza Mental Health and Guidance Center, Inc.
- Melissa Keim, LMSW
- Paige Knudson
- Koechner Pharmacies LLC (Kex Rx Pharmacy & Home Care)
- Koechner Pharmacies LLC (Kex Rx Pharmacy & Home Care)
- Joseph P Koechner, RPH
- Kimberly Krauter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.