JAMES KETTERMAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1457539454

JAMES KETTERMAN (CRNA) is a healthcare provider. based in Enid, Oklahoma. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN71292 (OK). The NPI Number for JAMES KETTERMAN (CRNA) is 1457539454

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JAMES KETTERMAN (CRNA)
NPI
1457539454
Phone
(580) 233-6100
Address
305 S 5TH ST
Enumeration Date
1 February 2008
Last Update Date
1 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4056026500
Graduation Year
2007 (19 years ago)
PAC ID
8426136144
Group Practice PAC ID
9638429178
Professional Enrollment ID
I20080422000399
Address ID
OK731399404OK8100XAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK

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Provider Addresses for JAMES KETTERMAN (CRNA)

  • Saint Mary's Regional Medical Center, 305, South 5th Street, Enid, Garfield County, Oklahoma, 73701, United States

    ENID, OK 737015832

    Phone: (580) 233-6100

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($117).

Total Amount

$117

General + Research + Ownership

Payments

1

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-04-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080422000399ICertified Registered Nurse Anesthetist (Crna)OKTBD

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.

Verify on CMS Revalidation Lookup Tool

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 73701)

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Provider's Procedures

JAMES KETTERMAN (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETOK01402Anesthesia for open or endoscopic total knee joint replacement1818

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: 9638429178View full group profile
NameSpecialtyState
Anesthesiology AssistantMO
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YMS
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YCT
A N E S T H E S I O L O G YTX
Anesthesiology, Interventional Pain ManagementTX

Reviews

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Frequently asked questions

Can I use this page to confirm JAMES KETTERMAN (CRNA)'s NPI?
Yes. JAMES KETTERMAN (CRNA) is listed with NPI 1457539454 in the public NPI dataset.
Is JAMES KETTERMAN (CRNA) listed as active for patients and plans?
The listing shows JAMES KETTERMAN (CRNA) as active in the NPI system.
What is JAMES KETTERMAN (CRNA)'s specialty?
The listing groups JAMES KETTERMAN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does JAMES KETTERMAN (CRNA) serve?
JAMES KETTERMAN (CRNA)'s listing highlights Enid, Oklahoma; more addresses can appear in NPPES.
Is the information about JAMES KETTERMAN (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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