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ETHAN COLLINS FNP
NPI 1336713148
Nurse Practitioner - Family in Coeburn, VA

Active since May 17, 2021PECOS EnrolledAccepts Medicare Assignment
208W FRONT STREET, COEBURN, VA 24230(276) 455-5556 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2022, Jan 5, 2022, May 17, 2021 (3 updates tracked since 2021).

About Ethan Collins Fnp NPPES

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

ETHAN COLLINS FNP (NPI 1336713148) is an individual family provider in Coeburn, Virginia, licensed in Virginia (0024183385) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Lonesome Pine Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336713148
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameETHAN COLLINSCredential: FNP
Location Address208W FRONT STREETCoeburn, VA 24230
Mailing AddressPo Box 90Coeburn, VA 24230-0090 · (276) 455-5556
Phone(276) 455-5556
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 17, 2021
Last NPPES UpdateFebruary 23, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 14, 2022
✔ NPI 1336713148 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
License✔ Licensed in VA · 0024183385
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 0001238326 (VA)
208W FRONT STREET, Coeburn, VA 24230
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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

Ethan Collins Fnp 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 ID3274910260
PECOS Enrollment IDI20220512001441
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
27 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lonesome Pine Hospital

Acute Care Hospitals · Big Stone Gap, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490114
Location1990 Holton Avenue EastBig Stone Gap, VA 24219 · Wise County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24230 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Collins's NPI number?

The NPI number for Ethan Collins is 1336713148. It was assigned to this individual provider in the NPPES registry on May 17, 2021.

Where is Ethan Collins located?

Ethan Collins practices at 208W Front Street, Coeburn, VA 24230. The listed phone number is (276) 455-5556.

What is Ethan Collins's specialty?

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

Is Ethan Collins enrolled in Medicare?

Yes. Ethan Collins 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.

Is Ethan Collins affiliated with any hospitals?

According to CMS data, Ethan Collins is affiliated with Lonesome Pine Hospital.

When was this NPI record last updated?

The NPPES record for Ethan Collins was last updated on February 23, 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.