1. Home
  2. Directory
  3. Kentucky
  4. Bowling Green
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

DANIEL ETHERIDGE CRNA
NPI 1043649809
Nurse Anesthetist, Certified Registered in Bowling Green, KY

Active since November 02, 2013PECOS EnrolledAccepts Medicare Assignment
250 PARK ST, BOWLING GREEN, KY 42101(270) 393-1912(270) 393-1913 Get Directions Write a Review

NPPES record last updated: January 27, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Daniel Etheridge Crna NPPES

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

DANIEL ETHERIDGE CRNA (NPI 1043649809) is an individual nurse anesthetist, certified registered in Bowling Green, Kentucky, licensed in Kentucky (3008449) and active in the NPI registry since November 2013. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Other (2013).

NPPES Registry Identity

NPI1043649809
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDANIEL ETHERIDGECredential: CRNA
Location Address250 PARK STBowling Green, KY 42101-1760
Mailing Address825 2nd Ave, Suite C6Bowling Green, KY 42101-1786 · (270) 393-1912 · Fax (270) 393-1913
Phone(270) 393-1912
Fax(270) 393-1913
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 2, 2013
Last NPPES UpdateJanuary 27, 2017
✔ NPI 1043649809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KY · 3008449
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 155950 (TN)
250 PARK ST, Bowling Green, KY 42101
Open in Google Maps ↗

Other Identifiers 3

Medicare PINK115232KY
Medicare PINK115230KY
Medicaid7100275390KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Etheridge Crna 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 ID5294964532
PECOS Enrollment IDI20140206001291
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Daniel Etheridge reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Commonwealth Health Corporation
Same address
Diagnostic Radiology
250 PARK ST
Bowling Green, KY 42101
  • Reassigned Medicare billing, Kentucky enrollment
  • 319 clinicians in this Medicare group
NPI 1922035393 (270) 745-1200
Interventional Pain Specialists Of Bowling Green Plc
0.1 mi
Pain Medicine
825 2ND AVE, SUITE C6
Bowling Green, KY 42101
  • Reassigned Medicare billing, Kentucky enrollment
  • 21 clinicians in this Medicare group
NPI 1871952630 (270) 282-2024
Lifelinc Anesthesia, PLLC
230 mi
Anesthesiology
3340 PLAYERS CLUB PKWY STE 350
Memphis, TN 38125
  • Reassigned Medicare billing, Kentucky enrollment
  • 20 clinicians in this Medicare group
NPI 1801021464 (901) 207-2017
Us Anesthesia Partners Of Kansas PA
1,018 mi
Anesthesiology
8000 E MAPLEWOOD AVE STE 120
Greenwood Village, CO 80111
  • Reassigned Medicare billing, Kansas enrollment
  • 43 clinicians in this Medicare group
NPI 1811415599 (303) 438-3999

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
60 services56 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42101 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%647 patients5/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
100%652 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CHRISTIAN MICHAEL KRANZ CRNA
Nurse Anesthetist, Certified Registered
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 393-1912
MORTEZA KAVEH PHARMD
Pharmacist
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1000
DR. MARIO PEROZO MD
Student in an Organized Health Care Education/Training Program
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 796-6540
DR. DANIEL R LONG D.O.
Internal Medicine
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1000
MATTHEW DUANE HARMON CRNA
Nurse Anesthetist, Certified Registered
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 393-1912
COLE THOMAS WILKEN
Student in an Organized Health Care Education/Training Program
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 780-2680
MRS. SHELLIE D HARDCASTLE APRN
Nurse Practitioner (Family)
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 745-1808
MRS. FRANCES DARLENE COLE KCSA
Specialist/Technologist, Other (Surgical Assistant)
250 PARK ST
BOWLING GREEN, KY 42101
Warren County (270) 781-4828

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 Daniel Etheridge's NPI number?

The NPI number for Daniel Etheridge is 1043649809. It was assigned to this individual provider in the NPPES registry on November 2, 2013.

Where is Daniel Etheridge located?

Daniel Etheridge practices at 250 Park St, Bowling Green, KY 42101. The listed phone number is (270) 393-1912.

What is Daniel Etheridge's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Daniel Etheridge enrolled in Medicare?

Yes. Daniel Etheridge 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.

Which organizations bill Medicare for Daniel Etheridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Etheridge reassigns Medicare benefits to 4 organizations: Commonwealth Health Corporation (Bowling Green, KY), Interventional Pain Specialists Of Bowling Green Plc (Bowling Green, KY), Lifelinc Anesthesia, PLLC (Memphis, TN) and Us Anesthesia Partners Of Kansas PA (Greenwood Village, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Etheridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Etheridge accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Blue Cross and Blue Shield of Kansas, Inc. list Daniel Etheridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniel Etheridge affiliated with any hospitals?

According to CMS data, Daniel Etheridge is affiliated with The Medical Center (bowling Green).

When was this NPI record last updated?

The NPPES record for Daniel Etheridge was last updated on January 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.