MEGAN A KETCHERSIDE (APP) – Family Nurse Practitioner, NPI 1912229428
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MEGAN A KETCHERSIDE (APP)
108 ROBINSON ST
DANVILLE, IL 618328515
Phone: (217) 443-0416
Type: Location
101 W UNIVERSITY AVE
CHAMPAIGN, IL 618203981
Phone: (217) 366-5027
Type: Location
206, West White Street, Champaign, Champaign County, Illinois, 61820, United States
CHAMPAIGN, IL 618204804
Phone:
Type: Mailing
114, North Division Street, Auburn, Cayuga County, New York, 13021, United States
CAYUGA, IN 479288230
Phone: (765) 492-9042
Fax: (765) 492-9044
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,064.
Total Amount is formed as General ($1,064) + Research ($0) + Ownership ($0) = $1,064.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($415).
Total Amount
$1,064
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,064
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-12-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201210000450 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 960 | 241 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 193 | 25 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 102 | 75 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 76 | 15 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 58 | 55 | $0 |
Insurance plans in this area (ZIP 61832)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IN | |
| - | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| - | IL |
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