SAVANNAH D KETTERER (PA-C) – Physician Assistant, NPI 1962005819

SAVANNAH D KETTERER (PA-C) is a healthcare provider. based in Goodlettsville, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for SAVANNAH D KETTERER (PA-C) is 1962005819

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SAVANNAH D KETTERER (PA-C)
NPI
1962005819
Phone
(615) 239-2018
Address
3024 BUSINESS PARK CIR
Enumeration Date
20 November 2020
Last Update Date
21 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6154520048
Graduation Year
2020 (6 years ago)
PAC ID
6305252917
Group Practice PAC ID
7315848140
Professional Enrollment ID
I20230301000371
Address ID
TN370662466GA590XXPIKE300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness85
Years active:5State licenses:0Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for SAVANNAH D KETTERER (PA-C)

  • 3024 BUSINESS PARK CIR

    GOODLETTSVILLE, TN 370723132

    Phone: (615) 239-2018

    Type: Mailing

  • 1525 HUNT CLUB BLVD STE 100

    GALLATIN, TN 370666070

    Phone: (615) 822-2177

    Fax: (615) 822-0300

    Type: Location

  • 276 W 600 S

    HEBER CITY, UT 840322229

    Phone: (801) 649-9470

    Type: Mailing

  • 907 GEORGIANA ST

    PORT ANGELES, WA 983623911

    Phone: (360) 565-0550

    Type: Location

  • 590 Hartsville Pike

    Gallatin, TN 370662466

    Phone: (615) 452-0048

    Fax: (615) 452-0616

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $303.

Total Amount is formed as General ($303) + Research ($0) + Ownership ($0) = $303.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($124).

Total Amount

$303

General + Research + Ownership

Payments

13

Total payment records

General Amount

$303

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

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: 2023-03-01

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
I20230301000371IPhysician AssistantTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes9990$0
99203New patient office or other outpatient visit, 30-44 minutes9797$0
92567Test to assess middle ear function6962$0
92557Comprehensive hearing and speech recognition test5751$0
99212Established patient office or other outpatient visit, 10-19 minutes5045$0
View full utilization report →

Insurance plans in this area (ZIP 37072)

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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: 7315848140View full group profile

Reviews

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Frequently asked questions

How is SAVANNAH D KETTERER (PA-C) identified in CMS data?
CMS-hosted NPPES data lists SAVANNAH D KETTERER (PA-C) with NPI 1962005819.
Does the file indicate SAVANNAH D KETTERER (PA-C) is practicing under active NPI?
Directory data currently reports SAVANNAH D KETTERER (PA-C) as active.
What is SAVANNAH D KETTERER (PA-C) best known for clinically?
Directory data describes SAVANNAH D KETTERER (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does SAVANNAH D KETTERER (PA-C) serve?
SAVANNAH D KETTERER (PA-C)'s listing highlights Goodlettsville, Tennessee; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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