MICHELLE KETHCART APN NPI 1104392497

NPI Information

  • NPI: 1104392497
  • Provider Name: MICHELLE KETHCART, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2160 S 1ST AVE
    MAYWOOD, IL
    ZIP 60153
  • Phone: (708) 216-9000

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NPI Details

Michelle Kethcart, APN is a family nurse practitioner in Maywood, IL. Michelle Kethcart, APN NPI is 1104392497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 216-9000

The NPI 1104392497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Removal of tunneled central venous tube (HCPCS:36589)
  • Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
  • Fine needle aspiration biopsy using ultrasound guidance, each additional growth (HCPCS:10006)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Removal of central venous tube with port or pump (HCPCS:36590)

The enumeration date for this NPI number is 10/15/2018 and was last updated on 9/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner209.018213ILLINOISNo
2363LF0000XNurse PractitionerFamily209018213ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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