ETHAN NEWHAM AGACNP-BC
NPI 1013524891
Nurse Practitioner - Acute Care in Richmond, VA

Active since September 25, 2020PECOS EnrolledAccepts Medicare Assignment
1213 E CLAY ST, RICHMOND, VA 23298(804) 828-9000 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 14, 2020, Sep 25, 2020 (2 updates tracked since 2020).

About Ethan Newham Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN NEWHAM AGACNP-BC (NPI 1013524891) is an individual acute care provider in Richmond, Virginia, licensed in Virginia (0024180239) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013524891
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameETHAN NEWHAMCredential: AGACNP-BC
Location Address1213 E CLAY STRichmond, VA 23298-5071
Mailing Address1213 E Clay StRichmond, VA 23298-5071 · (800) 762-6161
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 25, 2020
Last NPPES UpdateOctober 14, 20202 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
NPI 1013524891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in VA · 0024180239
1213 E CLAY ST, Richmond, VA 23298

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ethan Newham Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123435344
PECOS Enrollment IDI20210405001971
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
146 services97 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490136
Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County
Emergency services Birthing friendly

Rappahannock General Hospital

Critical Access Hospitals · Kilmarnock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491308
Location101 Harris RoadKilmarnock, VA 22482 · Lancaster County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1213 E CLAY ST
RICHMOND, VA 23298
Student in an Organized Health Care Education/Training Program
1213 E CLAY ST
RICHMOND, VA 23298
Emergency Medicine
1213 E CLAY ST
RICHMOND, VA 23298
Nurse Practitioner
1213 E CLAY ST
RICHMOND, VA 23298
Emergency Medicine
1213 E CLAY ST
RICHMOND, VA 23298
Emergency Medicine
1213 E CLAY ST
RICHMOND, VA 23298
Emergency Medicine
1213 E CLAY ST
RICHMOND, VA 23298
Registered Nurse (Critical Care Medicine)
1213 E CLAY ST
RICHMOND, VA 23298

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Newham's NPI number?

The NPI number for Ethan Newham is 1013524891. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Where is Ethan Newham located?

Ethan Newham practices at 1213 E Clay St, Richmond, VA 23298. The listed phone number is (804) 828-9000.

What is Ethan Newham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ethan Newham enrolled in Medicare?

Yes. Ethan Newham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ethan Newham affiliated with any hospitals?

According to CMS data, Ethan Newham is affiliated with Bon Secours St Marys Hospital, Bon Secours Southside Medical Center, Bon Secours Memorial Regional Medical Center, Bon Secours St Francis Medical Center and Rappahannock General Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Newham was last updated on October 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.