ETHAN THOMAS SLABAUGH DNP
NPI 1134849326
Nurse Practitioner in Pittsfield, MA

Active since August 30, 2022PECOS Enrolled
84.88/100
CMS Quality Rating
82 WENDELL AVE STE 100, PITTSFIELD, MA 01201(617) 517-6340(423) 301-6604 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Feb 15, 2025, Sep 29, 2022 and 1 more (4 updates tracked since 2022).

About Ethan Thomas Slabaugh Dnp NPPES

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

ETHAN THOMAS SLABAUGH DNP (NPI 1134849326) is an individual nurse practitioner in Pittsfield, Massachusetts, licensed in Massachusetts (RN2361626) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sudbury.

NPPES Registry Identity

NPI1134849326
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameETHAN THOMAS SLABAUGHCredential: DNP
Location Address82 WENDELL AVE STE 100Pittsfield, MA 01201-7066
Mailing Address82 Wendell Ave Ste 100Pittsfield, MA 01201-7066 · (617) 517-6340 · Fax (423) 301-6604
Fax(423) 301-6604
Sole ProprietorYes
Enumeration DateAugust 30, 2022
Last NPPES UpdateFebruary 19, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1134849326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MA · RN2361626
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN2361626 (MA)
82 WENDELL AVE STE 100, Pittsfield, MA 01201

Secondary Practice Location 1

Location 1501 Boston Post RdSudbury, MA 01776-3335 · Phone (866) 389-2727

Accepted 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)

Ethan Thomas Slabaugh Dnp 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 01201 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.44
Improvement Activities40
Cost98.29

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.

Counselor (Mental Health)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Counselor (Mental Health)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Community/Behavioral Health
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Behavior Analyst
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Nurse Practitioner (Primary Care)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Nurse Practitioner
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
Nurse Practitioner (Psychiatric/Mental Health)
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201
In Home Supportive Care
82 WENDELL AVE STE 100
PITTSFIELD, MA 01201

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 Slabaugh's NPI number?

The NPI number for Ethan Slabaugh is 1134849326. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Ethan Slabaugh located?

Ethan Slabaugh practices at 82 Wendell Ave Ste 100, Pittsfield, MA 01201. The listed phone number is (617) 517-6340.

What is Ethan Slabaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ethan Slabaugh enrolled in Medicare?

Yes. Ethan Slabaugh is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Slabaugh accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Ethan Slabaugh 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.

When was this NPI record last updated?

The NPPES record for Ethan Slabaugh was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.