Ms Kimberly A Ketter, AGNP-C - Medicare Nurse Practitioner in Petersburg, VA

  1. Home
  2. Nurse Practitioner
  3. VA
  4. Petersburg
Ms Kimberly A Ketter, AGNP-C is a medicare enrolled "Nurse Practitioner - Gerontology" in Petersburg, Virginia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Morris Cardiovascular And Risk Reduction Center Pc and her current practice location is 700 S Sycamore St, Petersburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 324-5051.

Ms Kimberly A Ketter is licensed to practice in Virginia (license number 0024173081) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912263609.

Contact Information

Ms Kimberly A Ketter, AGNP-C
700 S Sycamore St,
Petersburg, VA 23803-5802
(804) 324-5051
(804) 324-5049

Map and Direction




Provider's Profile

Full NameMs Kimberly A Ketter
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location700 S Sycamore St, Petersburg, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kimberly A Ketter graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1912263609
  • Provider Enumeration Date: 04/06/2012
  • Last Update Date: 02/12/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8426055807
  • Enrollment ID: I20160215000667

Medical Identifiers

Medical identifiers for Ms Kimberly A Ketter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912263609NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WD0400XRegistered Nurse - Diabetes Educator 0001142669 (Virginia)Secondary
363LG0600XNurse Practitioner - Gerontology 0024173081 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Morris Cardiovascular And Risk Reduction Center Pc61030985464

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kimberly A Ketter allows following entities to bill medicare on her behalf.
Entity NameCase Management Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942237680
PECOS PAC ID: 6709883184
Enrollment ID: O20061026000643
Entity NameMorris Cardiovascular And Risk Reduction Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467734863
PECOS PAC ID: 6103098546
Enrollment ID: O20111007000427

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kimberly A Ketter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Kimberly A Ketter, AGNP-C
Po Box 38004,
Richmond, VA 23231-0804

Ph: (804) 873-8389		Ms Kimberly A Ketter, AGNP-C
700 S Sycamore St,
Petersburg, VA 23803-5802

Ph: (804) 324-5051

Reviews and Comments


Nurse Practitioner Nurses in Petersburg, VA

Melita Claresa Wilson- Primus, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 350 Poplar Dr, Petersburg, VA 23805
Phone: 866-546-2229    
Ms. Nancy Joyner Gauldin, CNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 Halifax St, Petersburg, VA 23803
Phone: 804-863-1652    Fax: 804-862-6126
Olivia Mendoza, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805
Phone: 804-861-0700    
Linda P. Whiteley, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 301 Halifax St, Petersburg, VA 23803
Phone: 804-862-1652    
Jocelyn L Burls, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    
Chiquita Michone Thomas-jackson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3916 S Crater Rd, Petersburg, VA 23805
Phone: 804-526-4300    
Ms. Erica Lynn Bagby, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    Fax: 804-733-3506

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.