Active NPI
Dawn M Ketchum, NP-C
- Family Nurse Practitioner
- Pleasant Hill, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 53-75650-121
- Practice address
- 220 N State Route 7
Pleasant Hill, MO 64080-1426 - Phone
- (816) 867-3095
- NPI assigned
- May 3, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2012009899 | MO | |
| Family Nurse Practitioner | 363LF0000X | 53-75650-121 | KS | Primary |
Addresses
Primary practice location
220 N State Route 7
Pleasant Hill, MO 64080-1426
Mailing address
PO Box 302
Pleasant Hill, MO 64080-0302
Phone (816) 682-5856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- University of Missouri, Kansas City, School of Medicine, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1971 Tennessee Ave N
Parsons, TN 38363-5049
2000 Health Park Dr
Brentwood, TN 37027-4692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-75650-121 | KS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Carenow Urgent Care LLC | Current | Accepting new patients | |
| Emergent Care Plus, LLC | Current | Accepting new patients | |
| Carespot Professional Services LLC | Past | Accepting new patients |
Locations
1100 N 4th St
Leavenworth, KS 66048
Phone (913) 297-9945
1300 E North Ave
Belton, MO 64012
Phone (816) 406-3443
1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342
2741 NE McBaine Dr
Lees Summit, MO 64064
Phone (816) 554-2600
9490 E State Route 350
Raytown, MO 64133
Phone (816) 256-4089
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Lees Summit, MO
- NPI 1396923181
-
- Urgent Care Clinic/Center
- Overland Park, KS
- NPI 1568703783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1477812923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 302",
"city": "PLEASANT HILL",
"state": "MO",
"postal_code": "640800302",
"telephone_number": "816-682-5856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 N STATE ROUTE 7",
"city": "PLEASANT HILL",
"state": "MO",
"postal_code": "640801426",
"telephone_number": "816-867-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETCHUM",
"first_name": "DAWN",
"middle_name": "M",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012009899",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-75650-121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.