ETHAN AXTMAN
NPI 1407419419
Nurse Practitioner in Bemidji, MN
About Ethan Axtman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN AXTMAN (NPI 1407419419) is an individual nurse practitioner in Bemidji, Minnesota, licensed in Minnesota (2472321) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Ethan Axtman 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Bemidji Medical Center
Acute Care Hospitals · Bemidji, MNLakewood Health Center
Critical Access Hospitals · Baudette, MNRainy Lake Medical Center
Critical Access Hospitals · International Falls, MNSanford Bagley Medical Center
Critical Access Hospitals · Bagley, MNSanford Medical Center Fargo
Acute Care Hospitals · Fargo, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56601 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BEMIDJI, MN 56601
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 Axtman's NPI number?
The NPI number for Ethan Axtman is 1407419419. It was assigned to this individual provider in the NPPES registry on April 16, 2019.
Where is Ethan Axtman located?
Ethan Axtman practices at 1300 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 333-5000.
What is Ethan Axtman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ethan Axtman enrolled in Medicare?
Yes. Ethan Axtman 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 Axtman accept?
Health plans from Medica, Sanford Health Plan and Security Health Plan list Ethan Axtman 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 Axtman affiliated with any hospitals?
According to CMS data, Ethan Axtman is affiliated with Sanford Bemidji Medical Center, Lakewood Health Center, Rainy Lake Medical Center, Sanford Bagley Medical Center and Sanford Medical Center Fargo.
When was this NPI record last updated?
The NPPES record for Ethan Axtman was last updated on May 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ethan Axtman · NPI 1407419419
Nurse Practitioner physician in Bemidji, Minnesota. Individual provider, active in the CMS NPPES registry since April 16, 2019.
## Identity
- **NPI:** 1407419419 (Entity type: Individual)
- **Enumerated:** April 16, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 2472321 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1300 ANNE ST NW, Bemidji, MN 56601-5103
- **Phone:** (218) 333-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1407419419) · Data from the CMS NPPES public registry.