Keneth Kibet Ngetich, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0033764 Issued in OH

Practice address

205 Poe Ave
Lithopolis, OH 43136-9777

Phone

(301) 825-2795

NPI assigned

Sep 18, 2023

Last updated

Mar 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Gateway Medical Center LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1447070685
  Medicare reassignment NPD
• Ohiocare Inc.

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1073490421
  Medicare reassignment NPD
• Comarc Care Network LLC

  • Primary Care Nurse Practitioner
  • Chillicothe, OH
  • NPI 1629977020
  Authorized official Same address or phone

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1881472363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 POE AVE",
            "city": "LITHOPOLIS",
            "state": "OH",
            "postal_code": "431369777",
            "telephone_number": "301-825-2795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 POE AVE",
            "city": "LITHOPOLIS",
            "state": "OH",
            "postal_code": "431369777",
            "telephone_number": "301-825-2795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGETICH",
        "first_name": "KENETH",
        "middle_name": "KIBET",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0033764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mysanndy Transportation LLC
• Vivienne T Nkengafac, CNP
• Perry Therapy Center LLC
• Heather Pontius, PT
• Emily Lynn Randall, LAT, ATC
• Renewed Serenity, LLC

• Family Nurse Practitioner in Lithopolis, OH
• Providers in Lithopolis, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.