Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508582446 Individual Practitioner Female Practitioner

Sophia Josephine Ketchmark , PHYSICIAN ASSISTANT

Physician Assistant • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sophia Ketchmark, PHYSICIAN ASSISTANT is a certified Physician Assistant practicing in Omaha, NE. With approximately 4 years of clinical experience since completing medical education in 2022, Sophia Ketchmark delivers high-quality medical care to the local community at EMILE AND 42ND STREET.

Sophia Ketchmark is affiliated with Unmc Physicians and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Emile And 42nd Street

Omaha, NE 681984440

Telephone 4025594000
Associated Practice Facility / Clinic
🏢 Unmc Physicians Facility NPI 1417912114

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Omaha, NE

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.8 yrs vs City Avg
City Avg: 11.8 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
552 Specialists

Practicing in Omaha, NE (1366 Statewide)

Telehealth Adoption Rate
12.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ketchmark (4 Years) 4 Yrs
Omaha Specialty Average (11.8 Years) 11.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
36 36 $500.00 $134.01

Medical Specialties & State Licenses

CMS Verified: 2023-01-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NE 2878

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Unmc Physicians

987400 Nebraska Medical Ctr, Omaha, NE 681987400

Phone: 4025594000

Unmc Physicians

Emile 42nd St, Omaha, NE 681980001

Phone: 4025594015

Secondary Practice Locations

1015 N 16th St Apt 217

Omaha, NE 681024440

Phone: 4029266229

4350 Dewey Ave

Omaha, NE 681051017

Phone: 4025522000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Lauren Licitra , MD

Internal Medicine

NPI 1003256991

Doctor of Medicine (M.D.)

Taylor Mueller , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003658915

Certified Registered Nurse Anesthetist

Grace Vincent

Student in an Organized Health Care Education/Training Program

NPI 1013807288
Taylor Peltz

Student in an Organized Health Care Education/Training Program

NPI 1033955745
Courtney Kern

Student in an Organized Health Care Education/Training Program

NPI 1053157768
Molly Ramsey

Student in an Organized Health Care Education/Training Program

NPI 1053238295

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 01, 2023

Registered at EMILE AND 42ND STREET, OMAHA, NE 681984440 (Tel: 4025594000)

📍
Updated Business Mailing Address February 01, 2023

Registered at 988102 NEBRASKA MEDICAL CTR, OMAHA, NE 681988102

👤
Provider Name / Credentials Updated February 01, 2023

Recorded as SOPHIA KETCHMARK, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2023

Physician Assistant (License #2878 in NE)

NPI Profile Active October 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2022

Registered at 1015 N 16TH ST APT 217, OMAHA, NE 681024440 (Tel: 4029266229)

📍
Updated Business Mailing Address October 12, 2022

Registered at 1015 N 16TH ST APT 217, OMAHA, NE 681024440

👤
Provider Name / Credentials Updated October 12, 2022

Recorded as SOPHIA KETCHMARK, STUDENT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 12, 2022

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: 1508582446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2022
Last Update: February 01, 2023
Sole Proprietor: No

Mailing Address

988102 Nebraska Medical Ctr

Omaha, NE 681988102

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.