ETHAN PRINCE
NPI 1306064563
Radiology - Vascular & Interventional Radiology in Edina, MN
About Ethan Prince NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN PRINCE (NPI 1306064563) is an individual vascular & interventional radiology provider in Edina, Minnesota, licensed in Rhode Island (12864) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ethan Prince 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.
Medicare Billing Reassignments
5Medicare enrollment records show Ethan Prince reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, Rhode Island enrollment
- 3 clinicians in this Medicare group
Pittsfield, MA 01201
- Reassigned Medicare billing, Rhode Island enrollment
Meriden, CT 06451
- Reassigned Medicare billing, Connecticut enrollment
- 110 clinicians in this Medicare group
Wallingford, CT 06492
- Reassigned Medicare billing, Connecticut enrollment
- 108 clinicians in this Medicare group
Groton, CT 06340
- Reassigned Medicare billing, Connecticut enrollment
- 101 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellspan York Hospital
Acute Care Hospitals · York, PAGettysburg Hospital
Acute Care Hospitals · Gettysburg, PAWellspan Good Samaritan Hospital
Acute Care Hospitals · Lebanon, PAPottstown Hospital
Acute Care Hospitals · Pottstown, PAEndless Mountains Health Systems
Critical Access Hospitals · Montrose, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
EDINA, MN 55435
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 Prince's NPI number?
The NPI number for Ethan Prince is 1306064563. It was assigned to this individual provider in the NPPES registry on April 23, 2007.
Where is Ethan Prince located?
Ethan Prince practices at 3600 Minnesota Dr Ste 800, Edina, MN 55435. The listed phone number is (952) 595-1100.
What is Ethan Prince's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.
Is Ethan Prince enrolled in Medicare?
Yes. Ethan Prince 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.
Which organizations bill Medicare for Ethan Prince's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Prince reassigns Medicare benefits to 5 organizations: Virtual Radiologic Professionals, LLC (Edina, MN), Advanced Berkshire Medical Imaging, PC (Pittsfield, MA), Midstate Radiology Associates, LLC (Meriden, CT), Meriden Imaging Center, Inc. (Wallingford, CT) and Diagnostic Imaging Services Of Ct, LLC (Groton, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Prince's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Prince accept?
Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Oscar Health list Ethan Prince 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.
Is Ethan Prince affiliated with any hospitals?
According to CMS data, Ethan Prince is affiliated with Wellspan York Hospital, Gettysburg Hospital, Wellspan Good Samaritan Hospital, Pottstown Hospital and Endless Mountains Health Systems.
When was this NPI record last updated?
The NPPES record for Ethan Prince was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Ethan Prince · NPI 1306064563
Vascular & Interventional Radiology physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since April 23, 2007.
## Identity
- **NPI:** 1306064563 (Entity type: Individual)
- **Enumerated:** April 23, 2007
- **Primary specialty:** Radiology - Vascular & Interventional Radiology · taxonomy 2085R0204X
- **State license:** 12864 (Rhode Island)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3600 MINNESOTA DR STE 800, Edina, MN 55435-7915
- **Phone:** (952) 595-1100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Virtual Radiologic Professionals, LLC (NPI 1932342029, Edina, MN); Advanced Berkshire Medical Imaging, PC (NPI 1588778807, Pittsfield, MA); Midstate Radiology Associates, LLC (NPI 1578518999, Meriden, CT); Meriden Imaging Center, Inc. (NPI 1508812561, Wallingford, CT); Diagnostic Imaging Services Of Ct, LLC (NPI 1093760431, Groton, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** March 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1306064563) · Data from the CMS NPPES public registry.