Sophia Josephine Ketchmark, PHYSICIAN ASSISTANT
Physician Assistant · Omaha, NE
Sophia Josephine Ketchmark, PHYSICIAN ASSISTANT is a physician assistant with a practice address in Omaha, Nebraska, and NPI 1508582446, issued on Oct 12, 2022. Check the license (Nebraska 2878, as entered in NPPES) with the Nebraska board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Sophia Josephine Ketchmark
- Credential
- PHYSICIAN ASSISTANT
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 2878 NE
Self-reported in NPPES; status is on the state search - Practice location
- Emile And 42ND Street, Omaha, NE 68198
- Phone
- (402) 559-4000
- Enumerated
- Oct 12, 2022
- Record last updated
- Feb 1, 2023
- Medicare enrollment
- Enrolled (PECOS I20230308000325); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,352 in Nebraska → Look up another NPI →
Verify Sophia Josephine Ketchmark in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Nebraska board licenses this profession
Search for license 2878Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Unmc PhysiciansOmaha, NE
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sophia Josephine Ketchmark among 1,352 physician assistant records in Nebraska
Sophia Josephine Ketchmark, PHYSICIAN ASSISTANT is one of 1,352 physician assistant records with a practice address in Nebraska. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 75% of them.
- NPI issued2022 · 75% of these records are older, 16% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2022 · median 2017 among the 971 with a school on file
- Record last updated2023 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Nebraska practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
546 physician assistant records list a practice address in Omaha
They are 546 of the 33,911 NPPES records with a practice address in Omaha, and 1,352 physician assistant records in Nebraska.
All 1,352 in Nebraska → Every provider in Omaha → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Judeen Andrews, PAOmaha, NE 681981861459372
- John Beckenhauer, PA-COmaha, NE 681981811991789
- Darwin Brown, PAOmaha, NE 681981174581946
- Bridget Burke, PAOmaha, NE 681981003874876
- Rodney Carlson, PAOmaha, NE 681981922066703
- Stephanie Cuttle, PA-COmaha, NE 681981346216983
- Linda Demeulmeester, PAOmaha, NE 681981902863251
- Amy Hannan, PAOmaha, NE 681981831148188
Common questions
What is Sophia Josephine Ketchmark, PHYSICIAN ASSISTANT's NPI number?
Sophia Josephine Ketchmark, PHYSICIAN ASSISTANT's National Provider Identifier (NPI) is 1508582446, issued on Oct 12, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Sophia Josephine Ketchmark, PHYSICIAN ASSISTANT located?
The NPPES record lists a practice address at Emile And 42ND Street, Omaha, NE, 68198. Phone: (402) 559-4000. Providers update this record themselves, so call before visiting.
How can I verify Sophia Josephine Ketchmark, PHYSICIAN ASSISTANT's license?
NPPES lists Nebraska license number 2878, as entered by the provider. Search the Nebraska board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.