Individual provider Active NPI

Aaron Ray Ketcher, DNP, FNP, CRNA, NSPM

  • Certified Registered Nurse Anesthetist
  • Tempe, AZ
National Provider Identifier
1891934790
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
CRNA0759 Issued in AZ
Practice address
6101 S Rural Rd Ste 112
Tempe, AZ 85283-2910
Phone
(602) 610-7274
NPI assigned
Feb 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10632 AZ
Certified Registered Nurse Anesthetist 367500000X CRNA0759 AZ Primary

Addresses

Primary practice location

6101 S Rural Rd Ste 112
Tempe, AZ 85283-2910

Mailing address

3317 S Higley Rd Ste 114-425
Gilbert, AZ 85297-5436
Phone (602) 610-7274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110531000169 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042376279 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP10632AZMDFamily Nurse Practitioner
CRNA0759AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Advanced Diagnostics LLC CurrentSince Aug 3, 2025 Accepting new patients
Rio Medical Group, LLC CurrentSince Aug 3, 2025 Accepting new patients
Dyersburg Hospital Company LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3317 S Higley Rd
Ste 114425
Gilbert, AZ 85297

6101 S Rural Rd
Ste 112
Tempe, AZ 85283
Phone (602) 610-7274

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1891934790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 S HIGLEY RD STE 114-425",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852975436",
            "telephone_number": "602-610-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 S RURAL RD STE 112",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832910",
            "telephone_number": "602-610-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETCHER",
        "first_name": "AARON",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP, CRNA, NSPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-17",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10632",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA0759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.