ETHAN PEARSON MSN, APRN, FNP-C
NPI 1184211187
Nurse Practitioner - Family in Fort Smith, AR

Active since December 23, 2020PECOS Enrolled
7001 ROGERS AVE, FORT SMITH, AR 72903(479) 314-6000 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 2, 2022, Dec 23, 2020 (2 updates tracked since 2020).

About Ethan Pearson Msn, Aprn, Fnp-c NPPES

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

ETHAN PEARSON MSN, APRN, FNP-C (NPI 1184211187) is an individual family provider in Fort Smith, Arkansas, licensed in Oklahoma (201449) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184211187
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameETHAN PEARSONCredential: MSN, APRN, FNP-C
Location Address7001 ROGERS AVEFort Smith, AR 72903-4073
Mailing Address476954 E 1094 RdRoland, OK 74954-5061 · (479) 926-6037
Sole ProprietorNo
Enumeration DateDecember 23, 2020
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2022
✔ NPI 1184211187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OK · 201449✔ Licensed in AR · 214768
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 132425 (OK)
7001 ROGERS AVE, Fort Smith, AR 72903

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 Pearson Msn, Aprn, Fnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72903 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Surgery
7001 ROGERS AVE, SUITE 200
FORT SMITH, AR 72903
Clinic/Center (Medical Specialty)
7001 ROGERS AVE, SUITE 401A
FORT SMITH, AR 72903
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7001 ROGERS AVE, SUITE 401
FORT SMITH, AR 72903
Pediatrics
7001 ROGERS AVE
FORT SMITH, AR 72903
Obstetrics & Gynecology
7001 ROGERS AVE, SUITE 502
FORT SMITH, AR 72903
Obstetrics & Gynecology
7001 ROGERS AVE, SUITE 400
FORT SMITH, AR 72903
Nurse Practitioner
7001 ROGERS AVE
FORT SMITH, AR 72903
Internal Medicine (Hematology & Oncology)
7001 ROGERS AVE, SUITE 200
FORT SMITH, AR 72903

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 Pearson's NPI number?

The NPI number for Ethan Pearson is 1184211187. It was assigned to this individual provider in the NPPES registry on December 23, 2020.

Where is Ethan Pearson located?

Ethan Pearson practices at 7001 Rogers Ave, Fort Smith, AR 72903. The listed phone number is (479) 314-6000.

What is Ethan Pearson's specialty?

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

Is Ethan Pearson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ethan Pearson was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.