NATALIE DIANE ETHRIDGE CPNP-AC
NPI 1023691243
Nurse Practitioner - Pediatrics, Critical Care in San Antonio, TX

Q: What is Natalie Ethridge's NPI number?

The NPI number for Natalie Ethridge is 1023691243. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Q: What is Natalie Ethridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Natalie Ethridge was last updated on April 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 05, 2021PECOS Enrolled

333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-3030 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 16, 2024, May 5, 2021 (2 updates tracked since 2021).

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About Natalie Diane Ethridge Cpnp-ac NPPES

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

NATALIE DIANE ETHRIDGE CPNP-AC (NPI 1023691243) is an individual pediatrics, critical care provider in San Antonio, Texas, licensed in Texas (1014038) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1023691243

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameNATALIE DIANE ETHRIDGECredential: CPNP-AC

Location Address333 N SANTA ROSASan Antonio, TX 78207-3108

Mailing Address7700 Floyd Curl DrSan Antonio, TX 78229-3902 · (210) 325-9723

Phone(210) 704-3030

Sole ProprietorNo

Enumeration DateMay 5, 2021

Last NPPES UpdateApril 16, 20242 updates tracked since enumeration

NPPES CertifiedApril 16, 2024

✔ NPI 1023691243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in TX · 1014038

333 N SANTA ROSA, San Antonio, TX 78207

Open in Google Maps ↗

Secondary Practice Location 1

Location 17700 Floyd Curl DrSan Antonio, TX 78229-3902 · Phone (210) 325-9723

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natalie Diane Ethridge Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

LATHA PRASANNAN MD

Pediatrics (Pediatric Hematology-Oncology)