Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Anastasja Ketch, PA-C

Individual provider Physician Assistant · NPI 1518450220

Anastasja Ketch, PA-C is a Physician Assistant in Buffalo, New York. Qualified in 2017, 9 years ago. Practices with Physician Mobile Medical Care PC, a 93-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

40 La Riviere Dr Ste 201
Buffalo, NY 14202-4036
Phone: (716) 893-1010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 164 Washington St, Wilson, NY 14172-9669 — (716) 213-7199

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 022165 (NY)

Record details

NPI number1518450220
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2018
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address40 La Riviere Dr Ste 201, Buffalo, NY 14202-4036

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Physician Mobile Medical Care Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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