JERRI LYN KETTMAN, RNC — NPI 1881750115 (Licensed & Credentialed Registered Nurse, Psych/Mental Health in FORT HARRISON, MT)

CMS-1500 Box 24J / 33a • NPI

1881750115

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WP0808X

Licensed & Credentialed Registered Nurse, Psych/Mental Health

Box 32 Service Location & ZIP+4

FORT HARRISON VAMC, 1892 WILLIAMS STREET, FORT HARRISON, MT, 59636

Official NPPES Practice Location

Practice Phone & Referral Fax

(406) 447-7596

Fax: (409) 447-7965

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1881750115 (JERRI LYN KETTMAN, RNC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1881750115` (NPI-1 Individual Practitioner)
Provider / Legal Name	JERRI LYN KETTMAN, RNC
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Psych/Mental Health NUCC Code: `163WP0808X` (Registered Nurse, Psych/Mental Health)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	FORT HARRISON VAMC, 1892 WILLIAMS STREET, FORT HARRISON, MT, 59636
Practice Telephone / Fax	Tel: (406) 447-7596 \| Fax: (409) 447-7965
Administrative Mailing Address	17 BRIDGER MT ROAD SOUTH, CLANCY, MT, 59634
Enumeration & Last Sync	Enumerated: 2006-12-29 \| CMS Record Updated: 2007-07-08

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

FORT HARRISON VAMC, 1892 WILLIAMS STREET, FORT HARRISON, MT, 59636

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Plain-English Taxonomy & CMS Crosswalk (163WP0808X)

What Does Taxonomy Code 163WP0808X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WP0808X translates to:
"Licensed & Credentialed Registered Nurse, Psych/Mental Health"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Psych/Mental Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JERRI LYN KETTMAN, RNC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WP0808X` — Registered Nurse, Psych/Mental Health Plain English: Licensed & Credentialed Registered Nurse, Psych/Mental Health	State: MT \| License: `0148096-03` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JERRI LYN KETTMAN, RNC (NPI #1881750115)