Sophia Ketchmark, PHYSICIAN ASSISTANT
NPI 1508582446 · Physician Assistant · Omaha, NE
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sophia Ketchmark, PHYSICIAN ASSISTANT is a Physician Assistant provider in Omaha, NE (NPI 1508582446).
Provider details
- NPI number
- 1508582446
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- No
- License
- 2878 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
36 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 36 | $134 |
Typical Medicare-allowed amounts for these services range $134–$134 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 4350 Dewey AveOmaha, NE 68105-1017Phone: (402) 552-2000
- 1015 N 16th St Apt 217Omaha, NE 68102-4440Phone: (402) 926-6229
Registry dates
- Enumerated
- 2022-10-12
- Last updated
- 2023-02-01
- Certified
- 2023-01-13
Frequently asked questions
- What is Sophia Ketchmark's NPI number?
- Sophia Ketchmark's National Provider Identifier (NPI) is 1508582446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sophia Ketchmark's specialty?
- Sophia Ketchmark is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Sophia Ketchmark located?
- Sophia Ketchmark's practice location on file with NPPES is Emile and 42nd Street, Omaha, NE 68198-4440.
- What is Sophia Ketchmark's phone number?
- The practice phone number listed in the NPPES registry for Sophia Ketchmark is (402) 559-4000.
- Does Sophia Ketchmark accept Medicare?
- Sophia Ketchmark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sophia Ketchmark's NPI active?
- Yes — Sophia Ketchmark's NPI (1508582446) is active in the NPPES registry as of the last update on 2023-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.