MR. ETHAN A SANDERS APRN
NPI 1134089949
Nurse Practitioner - Acute Care in Decatur, IL

Active since November 13, 2025PECOS EnrolledAccepts Medicare Assignment
2300 N EDWARD ST, DECATUR, IL 62526(217) 876-8121 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 1, 2025, Nov 13, 2025 (2 updates tracked since 2025).

About Mr. Ethan A Sanders Aprn NPPES

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

MR. ETHAN A SANDERS APRN (NPI 1134089949) is an individual acute care provider in Decatur, Illinois, licensed in Illinois (209.033959) and active in the NPI registry since November 2025. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1134089949
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. ETHAN A SANDERSCredential: APRN
Location Address2300 N EDWARD STDecatur, IL 62526-4192
Mailing Address2300 N Edward St Ste 2400Decatur, IL 62526-4192 · (217) 876-2400 · Fax (217) 876-2405
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 13, 2025
Last NPPES UpdateDecember 1, 20252 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
NPI 1134089949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IL · 209.033959
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 209.033959 (IL)
2300 N EDWARD ST, Decatur, IL 62526

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

Mr. Ethan A Sanders Aprn 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 ID7719471564
PECOS Enrollment IDI20251210001154
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.

Hospital Affiliations CMS Care Compare

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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.

Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Nurse Practitioner (Family)
2300 N EDWARD ST
DECATUR, IL 62526
Radiology (Diagnostic Radiology)
2300 N EDWARD ST
DECATUR, IL 62526
Physician Assistant
2300 N EDWARD ST
DECATUR, IL 62526
Dietitian, Registered
2300 N EDWARD ST
DECATUR, IL 62526
Physical Therapist
2300 N EDWARD ST
DECATUR, IL 62526
Nurse Anesthetist, Certified Registered
2300 N EDWARD ST
DECATUR, IL 62526
Anesthesiology
2300 N EDWARD ST
DECATUR, IL 62526

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 Sanders's NPI number?

The NPI number for Ethan Sanders is 1134089949. It was assigned to this individual provider in the NPPES registry on November 13, 2025.

Where is Ethan Sanders located?

Ethan Sanders practices at 2300 N Edward St, Decatur, IL 62526. The listed phone number is (217) 876-8121.

What is Ethan Sanders's specialty?

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

Is Ethan Sanders enrolled in Medicare?

Yes. Ethan Sanders 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 Sanders affiliated with any hospitals?

According to CMS data, Ethan Sanders is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Sanders was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.