Individual provider Active NPI

Rachel M Ketter, PA

  • Surgical Physician Assistant
  • Madison, WI
National Provider Identifier
1841813763
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
7231 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-2375
Phone
(608) 263-6190
Fax
(608) 263-6199
NPI assigned
May 27, 2020
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X 7231 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-2375

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

2214 Canterbury Dr Ste 304
Hays, KS 67601-2375
Phone (785) 233-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20230425001021 WI Practitioner - Physician Assistant 3173929437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Kansas School of Med (KC/Wich/Sal), 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 S Park St
Madison, WI 53715-1375
Phone (608) 287-2000

137 S Main St
Oregon, WI 53575-1534
Phone (608) 835-5588

251 2ND St
Reedsburg, WI 53959-1610
Phone (608) 524-4334

2977 County Hwy CX
Portage, WI 53901-9271
Phone (608) 287-2770

301 E 2ND St
Richland Center, WI 53581-1900
Phone (608) 647-6321

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7231WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 5, 2023 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Jun 5, 2023 Accepting new patients
University of Wisconsin System Non Payroll Past Accepting new patients

Locations

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1 S Park St
Madison, WI 53715
Phone (608) 287-2000

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

2977 Cty Cx
Portage, WI 53901
Phone (608) 742-3004

251 2nd St
Reedsburg, WI 53959
Phone (608) 524-4334

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • Direct secure messaging: rketter1076116@direct.unitypoint.org

Organizations & group practices 4

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 1

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1841813763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537922375",
            "telephone_number": "608-263-6190",
            "fax_number": "608-263-6199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2214 Canterbury Dr Ste 304",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012375",
            "country_code": "US",
            "telephone_number": "785-233-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETTER",
        "first_name": "RACHEL",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "7231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.