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

Individual provider Physician Assistant · NPI 1750865424

Brianna Ketchem, PA-C is a Physician Assistant in Fort Collins, Colorado. Qualified in 2018, 8 years ago. Practices with Well Nourished LLC, a 6-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
8
Licensed in
CO
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

1120 E Elizabeth St Bldg G Ste 2
Fort Collins, CO 80524-4044
Phone: (970) 493-9193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1411 S Potomac St Ste 340, Aurora, CO 80012-4539 — (814) 282-0373
  • 1410 Vance St Ste 211, Lakewood, CO 80214-5435 — (720) 636-6537

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0005525 (CO)

Record details

NPI number1750865424
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 19, 2018
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Well Nourished Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fort Collins