Rachel Ann Longawa Ketter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085004728 Issued in IL

Practice address

10400 75TH St
Kenosha, WI 53142-7884

Phone

(262) 942-5828

NPI assigned

Jul 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Merit-based Incentive Payment System (MIPS)

Final score

93.41 of 100Reported as group

Quality

86.81

Improvement activities

40

Cost

77.34

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rketter251341@direct.franciscanalliance.org

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.

• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1912283110

  IL

  Medicare reassignment
• Dupage Emergency Physicians Convenient Care LLC

  • Emergency Medicine Physician
  • Lemont, IL
  • NPI 1922000363

  IL

  Medicare reassignment
• Dupage Emergency Physicians LTD

  • Emergency Medicine Physician
  • Downers Grove, IL
  • NPI 1255323481

  IL

  Medicare reassignment
• Emergency Medicine Physicians of Cook County LLC

  • Emergency Medicine Physician
  • Olympia Fields, IL
  • NPI 1114168929

  IL

  Medicare reassignment
• Cep America - Illinois, LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1720448491
  NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Springfield, IL
  • NPI 1871360297
  NPD
• Emergency Medicine Physicians of Washington County, LLC

  • Emergency Medicine Physician
  • Westerly, RI
  • NPI 1821434580
  NPD (past)

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1760822845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W FOREST HOME AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532152843",
            "telephone_number": "414-389-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 75TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427884",
            "telephone_number": "262-942-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETTER",
        "first_name": "RACHEL",
        "middle_name": "ANN LONGAWA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3133-23",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085004728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenosha Vascular Lab Inc
• Kenosha Vascular Laboratory
• Kenosha Visiting Nurse Association, Inc.
• Steven Edward Kenzer, D.O.
• Lori J Kerber, DDS
• Alison M Ketterhagen, PA-C
• Mohamed Aly Khalil
• Anum Sameera Khan, M.D.
• Mehjabein Yaguoob Khan, MD
• Muhammad S Khan, MD

• All providers in Kenosha, WI
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.

Verify at the official NPI Registry.