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Active NPI 1629390810 Individual Practitioner Female Practitioner

Marilyn Carmela Ketchum , RN, CANP

Registered Nurse - General Practice • Lansing, MI

Professional Overview & Biography Verified Profile Summary

Marilyn Ketchum, RN, CANP is a registered healthcare professional specializing in Registered Nurse - General Practice in Lansing, MI. Practice services are available at 2310 E MICHIGAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2310 E Michigan Ave

Lansing, MI 489124018

Telephone 5173467628
Fax 5173467629
Associated Practice Facility / Clinic
🏢 Physician Coverage Services Facility NPI 1508285339

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Lansing, MI (125 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License MI 4704149979

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Suzanne Martini , RN, MSN, FNP-C

Nurse Practitioner - Family

NPI 1215939723

Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner (Certified)

George Johnson , PA-C

Physician Assistant

NPI 1225354954

Physician Assistant (Certified)

NPI 1295744530

Doctor of Osteopathic Medicine (D.O.)

Billie Berman , NP

Nurse Practitioner

NPI 1750446944

Nurse Practitioner

Ziena Saeed , RD

Dietitian, Registered

NPI 1841455284

Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active February 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2010

Registered at 2310 E MICHIGAN AVE, LANSING, MI 489124018 (Tel: 5173467628)

📍
Updated Business Mailing Address February 16, 2010

Registered at 2310 E MICHIGAN AVE, LANSING, MI 489124018 (Tel: 5173467628)

👤
Provider Name / Credentials Updated February 16, 2010

Recorded as MARILYN KETCHUM, RN, CANP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2010

Registered Nurse (License #4704149979 in MI)

🟢
Initial NPI Registration & Enumeration February 16, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629390810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 16, 2010
Last Update: February 16, 2010
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

2310 E Michigan Ave

Lansing, MI 489124018

Phone: 5173467628

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.