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

Sedra Jo Ketcham, APRN

Individual provider Adult Health Nurse Practitioner · NPI 1578803045

Sedra Jo Ketcham, APRN is a Nurse Practitioner in South Bend, Indiana. Qualified in 2012, 14 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group and accepts Medicare assignment. Licensed in Indiana and Missouri.

Years since qualifying
14
Licensed in
IN, MO
In the registry since
2013
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

615 N Michigan St 1st Fl Hospitalist Ste
South Bend, IN 46601-1033
Phone: (574) 647-3050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 71010526A (IN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 2014013264 (MO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 2014013264 (MO)

Record details

NPI number1578803045
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedFebruary 21, 2013
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address3245 Health Drive, Suite 100, Granger, IN 46530-3245

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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