IndividualActive
Tracey Ketchmark
NPI 1154129237 · Contractor · Omaha, NE
Tracey Ketchmark is a Contractor provider in Omaha, NE (NPI 1154129237).
Provider details
- NPI number
- 1154129237
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4715 S 132nd St
Omaha, NE 68137-1899
Phone: (308) 390-4378
Street-level locationGet directions
Mailing address
4715 S 132nd St
Omaha, NE 68137-1899
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2025-04-18
- Certified
- 2025-04-18
Frequently asked questions
- What is Tracey Ketchmark's NPI number?
- Tracey Ketchmark's National Provider Identifier (NPI) is 1154129237, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracey Ketchmark's specialty?
- Tracey Ketchmark is listed in the NPPES registry with a primary specialty of Contractor (Other Service Providers).
- Where is Tracey Ketchmark located?
- Tracey Ketchmark's practice location on file with NPPES is 4715 S 132nd St, Omaha, NE 68137-1899.
- What is Tracey Ketchmark's phone number?
- The practice phone number listed in the NPPES registry for Tracey Ketchmark is (308) 390-4378.
- Is Tracey Ketchmark's NPI active?
- Yes — Tracey Ketchmark's NPI (1154129237) is active in the NPPES registry as of the last update on 2025-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.