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MR. ETHAN TYLER SMITHERMAN PMHNP
NPI 1316643398
Nurse Practitioner - Psychiatric/Mental Health in Hernando, MS

Active since February 01, 2023PECOS EnrolledAccepts Medicare Assignment
324 W VALLEY ST STE 108, HERNANDO, MS 38632(901) 491-0130 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ethan Tyler Smitherman Pmhnp NPPES

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

MR. ETHAN TYLER SMITHERMAN PMHNP (NPI 1316643398) is an individual psychiatric/mental health provider in Hernando, Mississippi, licensed in Mississippi (905753) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316643398
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. ETHAN TYLER SMITHERMANCredential: PMHNP
Location Address324 W VALLEY ST STE 108Hernando, MS 38632-1749
Mailing Address324 W Valley St Ste 108Hernando, MS 38632-1749 · (901) 491-0130
Phone(901) 491-0130
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 1, 2023
NPPES CertifiedFebruary 1, 2023
✔ NPI 1316643398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MS · 905753
324 W VALLEY ST STE 108, Hernando, MS 38632
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 Tyler Smitherman Pmhnp 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 ID6507229804
PECOS Enrollment IDI20230905002328
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

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
36 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38632 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

HERNANDO PSYCHIATRY LLC
Nurse Practitioner (Psychiatric/Mental Health)
324 W VALLEY ST STE 108
HERNANDO, MS 38632
Desoto County (901) 491-0130

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 Smitherman's NPI number?

The NPI number for Ethan Smitherman is 1316643398. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Where is Ethan Smitherman located?

Ethan Smitherman practices at 324 W Valley St Ste 108, Hernando, MS 38632. The listed phone number is (901) 491-0130.

What is Ethan Smitherman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ethan Smitherman enrolled in Medicare?

Yes. Ethan Smitherman 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.

What insurance does Ethan Smitherman accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Ethan Smitherman 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 Smitherman was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.