1. Home
  2. Directory
  3. Illinois
  4. Springfield
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AIRN A ETHERTON FNP-BC
NPI 1114115920
Nurse Practitioner - Family in Springfield, IL

Active since October 05, 2007PECOS Enrolled
520 N 4TH ST, SPRINGFIELD, IL 62702(217) 757-8100(217) 757-8161 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, Oct 21, 2020 (2 updates tracked since 2020).

About Airn A Etherton Fnp-bc NPPES

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

AIRN A ETHERTON FNP-BC (NPI 1114115920) is an individual family provider in Springfield, Illinois, licensed in Illinois (209006215) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114115920
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAIRN A ETHERTONCredential: FNP-BC
Location Address520 N 4TH STSpringfield, IL 62702-5238
Mailing Address520 N 4th St, Po Box 19670Springfield, IL 62702-5238 · (217) 757-8100 · Fax (217) 757-8161
Phone(217) 757-8100
Fax(217) 757-8161
Sole ProprietorNo
Enumeration DateOctober 5, 2007
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1114115920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209006215
520 N 4TH ST, Springfield, IL 62702
Open in Google Maps ↗

Other Names 1

Former Name (1)Airn A English Fnp-bc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Airn A Etherton Fnp-bc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Airn Etherton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Trustees Of Southern Illinois University
Same address
Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
NPI 1396097960 (217) 757-8100
Board Of Trustees Of The University Of Illinois
62 mi
Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1467425322 (309) 680-8649

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

MRS. AMANDA B HENSON LCSW
Social Worker (Clinical)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. BASAR CENIK M.D.
Psychiatry & Neurology (Psychiatry)
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. HARI IYENGAR MD
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8100
DR. JOSEPH DOUGLAS WRIGHT DO
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 757-8197
HELEN L MOOSE CNM-MS
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
JANET R ALBERS M.D.
Family Medicine
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
ANNETTE REESE
Community Health Worker
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
AMBER GUYTON
Advanced Practice Midwife
520 N 4TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000

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 Airn Etherton's NPI number?

The NPI number for Airn Etherton is 1114115920. It was assigned to this individual provider in the NPPES registry on October 5, 2007. The provider is also known as Airn A English Fnp-Bc.

Where is Airn Etherton located?

Airn Etherton practices at 520 N 4th St, Springfield, IL 62702. The listed phone number is (217) 757-8100.

What is Airn Etherton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Airn Etherton enrolled in Medicare?

Yes. Airn Etherton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Airn Etherton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Airn Etherton reassigns Medicare benefits to 2 organizations: Board Of Trustees Of Southern Illinois University (Springfield, IL) and Board Of Trustees Of The University Of Illinois (Peoria, IL). 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 Airn Etherton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Airn Etherton was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.