AMANDA KETUSKY PA-C
NPI 1134662869
Physician Assistant in Wilkes Barre, PA
NPI Status: Active since November 29, 2016
Contact Information
1155 E MOUNTAIN BLVD
WILKES BARRE, PA
ZIP 18702
Phone: (570) 808-7916
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About AMANDA KETUSKY
This page provides the complete NPI Profile along with additional information for Amanda Ketusky, a primary care provider established in Wilkes Barre, Pennsylvania with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1134662869 assigned on November 2016. The practitioner's primary taxonomy code is 363A00000X with license number MA058706 (PA). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1134662869
- Provider Name
- AMANDA KETUSKY PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702
- Location Phone
- (570) 808-7916
- Mailing Address
- 100 N ACADEMY AVE DANVILLE, PA 17822
- Mailing Phone
- (570) 271-6144
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-29-2016
- Last Update Date
- 08-28-2020
- Code Navigator
A primary care provider (PCP) like Amanda Ketusky sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- MA058706
- License State
- PA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | MA058706 (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Simple PCP Saver - EPO
- Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible - HMO
- Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs - HMO
- Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs - HMO
- Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs - HMO
- Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs - HMO
- Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist - HMO
- Sendero Health Real Gold / $350 Deductible - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Amanda Ketusky is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 48 times for 47 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 18702 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.36
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $17.09
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 6 | 6 | 2 | 8 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 12 | 6 | 4 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 2 + 6 + 4 + 8 + 1 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1134662869 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366942922 | MRS. PEARLEEN ANN POPLAWSKI RN Individual | Registered Nurse | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7916 |
| 1104326750 | ALEXANDREA MARIE DAVIS Individual | Registered Nurse | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7916 |
| 1114427762 | JUDITH MARIE LEHNOWSKY Individual | Registered Nurse (Women's Health Care, Ambulatory) | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7920 |
| 1245730803 | DENISE MARIE CASTELLANI RN Individual | Registered Nurse | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7920 |
| 1023518677 | MRS. WENDY BEALLA Individual | Registered Nurse | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7916 |
| 1588632962 | CELESTE E DEBAPTISTE MD Individual | Obstetrics & Gynecology | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7916 |
| 1720559990 | NICOLE WILLIAMS RN Individual | Registered Nurse | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7916 |
| 1811468036 | LISA FERENCHICK Individual | Registered Nurse | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7916 |
| 1437551868 | GEISINGER WYOMING VALLEY MEDICAL CENTER Organization | Clinic/Center (Multi-Specialty) | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-6444 |
| 1649231457 | DR. PAUL R. LONG M.D. Individual | Dermatology | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 820-6113 |
| 1043653975 | RACHEL M. YENKOWSKI PA-C Individual | Physician Assistant | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-5135 |
| 1205824224 | VANI DANDOLU MD Individual | Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery) | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7916 |
| 1003434069 | MRS. CAROLYN TERESA CLARK RN BSN Individual | Registered Nurse | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7920 |
| 1346234200 | JUAN MANUEL ARREGUIN MD Individual | Obstetrics & Gynecology | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7916 |
| 1467431858 | DR. THOMAS SAMUELSEN MD Individual | Obstetrics & Gynecology | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7916 |
| 1275501926 | DR. JENNIFER S. GELL M.D. Individual | Obstetrics & Gynecology (Reproductive Endocrinology) | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7916 |
| 1649239088 | MS. KAREN M. KAMINSKI CRNP Individual | Nurse Practitioner | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-6113 |
| 1982661351 | MR. THOMAS B. SCHAEFFER PA-C Individual | Physician Assistant | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-5135 |
| 1356391213 | DR. GEORGE F. VALENTA JR. M.D. Individual | Obstetrics & Gynecology | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-7916 |
| 1902859168 | MS. MONICA J. MATHES PA-C Individual | Physician Assistant | 1155 E MOUNTAIN BLVD WILKES BARRE, PA 18702 (570) 808-6113 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134662869, enumerated in the NPI registry as an "individual" on November 29, 2016
The provider is located at 1155 E Mountain Blvd Wilkes Barre, Pa 18702 and the phone number is (570) 808-7916
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Oscar. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.88 with an average copayment of $21.22 for new patient appointments. Established patients should expect a typical charge of $68.36 and an average copayment of 17.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes.
This NPI record was last updated on November 29, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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