MR. ETHAN KLAUSMEYER PA-C
NPI 1174162481
Physician Assistant in Warwick, RI

Q: What is Ethan Klausmeyer's NPI number?

The NPI number for Ethan Klausmeyer is 1174162481. It was assigned to this individual provider in the NPPES registry on January 3, 2020.

Q: What is Ethan Klausmeyer's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethan Klausmeyer was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 03, 2020PECOS Enrolled

17 AIRPORT RD, WARWICK, RI 02889(401) 606-3110 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Aug 6, 2025, Dec 1, 2022, Jan 26, 2022 and 1 more (4 updates tracked since 2020).

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About Mr. Ethan Klausmeyer Pa-c NPPES

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

MR. ETHAN KLAUSMEYER PA-C (NPI 1174162481) is an individual physician assistant in Warwick, Rhode Island, licensed in Rhode Island (PA01425) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174162481

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ETHAN KLAUSMEYERCredential: PA-C

Location Address17 AIRPORT RDWarwick, RI 02889-1001

Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779

Phone(401) 606-3110

Sole ProprietorNo

Enumeration DateJanuary 3, 2020

Last NPPES UpdateAugust 6, 20254 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1174162481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in RI · PA01425✔ Licensed in MD · C0009110

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

17 AIRPORT RD, Warwick, RI 02889

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Secondary Practice Locations 2

Location 11 Kettle Point AveEast Providence, RI 02914-5375 · Phone (401) 457-1500

Location 2675 Paramount Dr Ste 301Raynham, MA 02767-5416 · Phone (401) 457-1500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ethan Klausmeyer Pa-c 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

63 services62 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

61 services60 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02889 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$72.93 typical visit price

range $18.92 – $144.38

Typical copayment $18.23 (range $4.73 – $36.09)

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEREMY DANIEL DIBIASIO

Student in an Organized Health Care Education/Training Program