ETHEREAL CARE
NPI 1609659291
Nurse Anesthetist, Certified Registered in Van Nuys, CA
About Ethereal Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHEREAL CARE (NPI 1609659291) is a healthcare organization registered as a nurse anesthetist, certified registered in Van Nuys, California and active in the NPI registry since August 2023. The organization lists Erin E. Peters, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ethereal Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ethereal Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ethereal Care's NPI number?
The NPI number for Ethereal Care is 1609659291. It was assigned to this organization in the NPPES registry on August 16, 2023.
Where is Ethereal Care located?
Ethereal Care is located at 6815 Noble Ave, Van Nuys, CA 91405. The listed phone number is (818) 901-6600.
What is Ethereal Care's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ethereal Care enrolled in Medicare?
Yes. Ethereal Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ethereal Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns their Medicare billing to Ethereal Care. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ethereal Care was last updated on August 16, 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.
# Ethereal Care · NPI 1609659291
Nurse Anesthetist, Certified Registered organization in Van Nuys, California. Organization record, active in the CMS NPPES registry since August 16, 2023.
## Identity
- **NPI:** 1609659291 (Entity type: Organization)
- **Enumerated:** August 16, 2023
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Erin Peters, PRESIDENT
## Practice location
- **Address:** 6815 NOBLE AVE, Van Nuys, CA 91405-3796
- **Phone:** (818) 901-6600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Certified Registered Nurse Anesthetist (CRNA)) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609659291) · Data from the CMS NPPES public registry.