PATRICIA KETLER (RN, MSN, APRN, BC) – Adult Health Nurse Practitioner, NPI 1629094404

PATRICIA KETLER (RN, MSN, APRN, BC) is a healthcare provider. based in Bel air, Maryland. specializing in Adult Health Nurse Practitioner. They hold the professional credentials RN, MSN, APRN, BC. They hold a License No. R053356 (MD). The NPI Number for PATRICIA KETLER (RN, MSN, APRN, BC) is 1629094404

Main info

Female
47 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA KETLER (RN, MSN, APRN, BC)
NPI
1629094404
Phone
(410) 515-4300
Address
104 PLUMTREE RD
Enumeration Date
14 July 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4105154300
Graduation Year
1979 (47 years ago)
PAC ID
9830373380
Group Practice PAC ID
3678751468
Professional Enrollment ID
I20110407000946
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PATRICIA KETLER (RN, MSN, APRN, BC)

  • Advanced Radiology, 104, Plumtree Road, Emmorton, Bel Air South, Bel Air, Harford County, Maryland, 21015, United States

    SUITE 115

    BEL AIR, MD 210156095

    Phone: (410) 515-4300

    Fax: (410) 515-4318

    Type: Location

  • 638, Reckord Road, Laurelvale, Bagley, Fallston, Harford County, Maryland, 21047, United States

    FALLSTON, MD 210472443

    Phone: (410) 879-3431

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678751468View full group profile
NameSpecialtyState
-MD
-CA
Diagnostic RadiologyVA
Diagnostic Radiology, Interventional RadiologyOH
-MD
Diagnostic RadiologyMD
-MD
Nuclear Medicine, Diagnostic RadiologyOH
Physician AssistantMD
Internal MedicineVA

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Frequently asked questions

What is the 10-digit NPI for PATRICIA KETLER (RN, MSN, APRN, BC)?
PATRICIA KETLER (RN, MSN, APRN, BC) — NPI 1629094404 — is the standard way to identify this listing.
Is PATRICIA KETLER (RN, MSN, APRN, BC) listed as active for patients and plans?
The listing shows PATRICIA KETLER (RN, MSN, APRN, BC) as active in the NPI system.
What is PATRICIA KETLER (RN, MSN, APRN, BC)'s specialty?
The listing groups PATRICIA KETLER (RN, MSN, APRN, BC) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect PATRICIA KETLER (RN, MSN, APRN, BC) on a map?
Expect Bel Air, Maryland as a primary anchor for PATRICIA KETLER (RN, MSN, APRN, BC) unless the record lists multiple sites.
Is the information about PATRICIA KETLER (RN, MSN, APRN, BC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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