Provider Type Icon

JEFFREY JUDGE KETZLE A.C.N.P. NPI 1972691004


NPI Information

NPI: 1972691004
Provider Name: JEFFREY JUDGE KETZLE, A.C.N.P.
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
4708 ALLIANCE BLVD
SUITE 475
PLANO, TX
ZIP 75093
Phone: (972) 964-8500
Get Directions

Jeffrey Judge Ketzle, A.C.N.P. is an acute care nurse practitioner in Plano, TX. Jeffrey Judge Ketzle, A.C.N.P. NPI is 1972691004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4708 ALLIANCE BLVD
SUITE 475
PLANO, TX
ZIP 75093-340
Phone: (972) 964-8500

The NPI 1972691004 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.

  • Insertion of spinal instrumentation for spinal stabilization (HCPCS:22851)
  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • Fusion of spine bones with removal of disc at upper spinal column, anterior approach (HCPCS:22551)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)

The enumeration date for this NPI number is 10/11/2006 and was last updated on 1/13/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care709638TEXASYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.