Sedra Jo Ketcham, APRN
NPI 1578803045ActiveIndividual· Nurse Practitioner, Adult Health· South Bend, IN
Nurse Practitioner, Adult Health (APRN) with Beacon Medical Group Inc, practicing in South Bend, Indiana. Medicare paid $18,551 for services to 103 patients in 2024. Lists Memorial Hospital of South Bend as a hospital affiliation.
Overview
| NPI | 1578803045 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Feb 21, 2013 |
| Last updated in NPPES | May 1, 2023 |
| Certified by provider | May 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Adult Health Primary | 363LA2200X | 71010526A | IN |
| Nurse Practitioner, Adult Health | 363LA2200X | 2014013264 | MO |
| Nurse Practitioner, Gerontology | 363LG0600X | 2014013264 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 103 |
|---|---|
| Services billed | 297 across 6 procedure codes |
| Paid by Medicare | $18,551 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Beacon Medical Group IncSouth Bend, IN · 589 clinicians
Hospital affiliation
- Memorial Hospital of South BendSouth Bend, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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