Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anna Ketcham

Individual provider Family Nurse Practitioner · NPI 1669859229

Anna Ketcham is a Nurse Practitioner in Beavercreek, Ohio. Qualified in 2014, 12 years ago. Practices with Dermatologists of Southwestern Ohio, LLC, a 116-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2015
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Practice location Address checks out

3572 Dayton Xenia Rd Ste 105
Beavercreek, OH 45432-2886
Phone: (937) 427-4600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence COA.17080-NP (OH)

Record details

NPI number1669859229
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2015
Last updated in NPPESJune 8, 2017
Mailing address3572 Dayton-Xenia Rd., Ste. 105, Beavercreek, OH 45432-2838

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Dermatologists Of Southwestern Ohio, Llc — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Beavercreek