ALISHA L KETTERER (MD) – Family Medicine Physician, NPI 1093755068

ALISHA L KETTERER (MD) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 51141 (WI). The NPI Number for ALISHA L KETTERER (MD) is 1093755068

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
ALISHA L KETTERER (MD)
NPI
1093755068
Phone
(920) 926-8340
Address
420 E DIVISION ST
Enumeration Date
7 June 2006
Last Update Date
29 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
9203872111
Graduation Year
2006 (20 years ago)
PAC ID
2769536606
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20090812000381

Contacts

Secure Messaging
aketterer330058@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for ALISHA L KETTERER (MD)

  • Fond-du-Lac, Northern Saskatchewan Administration District, Saskatchewan, Canada

    FOND DU LAC, WI 549354560

    Phone: (920) 926-8340

    Fax: (920) 926-8370

    Type: Mailing

  • 360, Mountin Drive, Mayville, Village of Williamstown, Dodge County, Wisconsin, 53050, United States

    MAYVILLE, WI 530501498

    Phone: (920) 387-7500

    Type: Location

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 54935)

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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: 1658289624View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND
Nephrology, Internal MedicineWI
Family PracticeWI

Reviews

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Frequently asked questions

What is ALISHA L KETTERER (MD)'s NPI number?
ALISHA L KETTERER (MD)'s NPI is 1093755068 — the number used across U.S. healthcare to identify this provider.
Is ALISHA L KETTERER (MD) shown as active in public data?
Registry records indicate ALISHA L KETTERER (MD) maintains an active NPI.
How would a patient describe ALISHA L KETTERER (MD)'s focus?
For ALISHA L KETTERER (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with ALISHA L KETTERER (MD)?
Directory geography for ALISHA L KETTERER (MD) centers on Fond Du Lac, Wisconsin.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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