Jamie L. Ketterman, RN, BSN, CDE
NPI 1609087402ActiveIndividual· Nurse Practitioner, Family· Clinton, MO
Nurse Practitioner, Family (RN, BSN, CDE) with Golden Valley Memorial Hospital District, practicing in Clinton, Missouri. Their prescriptions cost Medicare Part D more than their services did: $931,575 for 7,875 claims, against $9,474 paid for services in 2024. Lists Golden Valley Memorial Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1609087402 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN, BSN, CDE |
| Sole proprietor | Yes |
| NPI issued | May 24, 2007 |
| Last updated in NPPES | Nov 16, 2021 |
| Certified by provider | Nov 16, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2014022528 | MO |
| Registered Nurse, Diabetes Educator | 163WD0400X | 2000162289 | 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 (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 88 across 2 procedure codes |
| Paid by Medicare | $9,474 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,875 · 13,190 30-day fills |
|---|---|
| Patients | 590 |
| Total drug cost | $931,575 |
| Generic share | 79% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Golden Valley Memorial Hospital DistrictClinton, MO · 139 clinicians
Hospital affiliations
- Golden Valley Memorial HospitalClinton, MO
- Saint Luke's East HospitalLees Summit, MO
- Western Missouri Medical CenterWarrensburg, MO
Other facilities
- Novus LifecareHome health agency · Clinton, MO
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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All 22 family nurse practitioners in Clinton · All family nurse practitioners in Missouri