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

Q: 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.

Q: What is Airn Etherton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Airn Etherton was last updated on October 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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 UpdateOctober 21, 2020

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

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Other Names 1

Former Name (1)Airn A English Fnp-bc

Medicare Participation & PECOS CMS

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

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.

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)