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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ETHEL AUDREY ARCHER
NPI 1629835319
Nurse Practitioner - Psychiatric/Mental Health in Delaware, OH

Active since February 29, 2024PECOS Enrolled
190 SPRINGER WOODS BLVD, DELAWARE, OH 43015(973) 289-5713 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2026, Jan 22, 2026 (2 updates tracked since 2026).

About Ethel Audrey Archer NPPES

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

ETHEL AUDREY ARCHER (NPI 1629835319) is an individual psychiatric/mental health provider in Delaware, Ohio, licensed in Ohio (APRN.CNP.0041225) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629835319
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameETHEL AUDREY ARCHER
Location Address190 SPRINGER WOODS BLVDDelaware, OH 43015-5164
Mailing Address190 Springer Woods BlvdDelaware, OH 43015-5164 · (973) 289-5713
Phone(973) 289-5713
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 29, 2024
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1629835319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0041225
Also ListedNursing CareTaxonomy 251J00000X · License RN475673 (OH)
190 SPRINGER WOODS BLVD, Delaware, OH 43015
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethel Audrey Archer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507334026
PECOS Enrollment IDI20260504005857
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.

Medicare Billing Reassignment

Medicare enrollment records show Ethel Archer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health, LLC
915 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43015 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Ethel Archer's NPI number?

The NPI number for Ethel Archer is 1629835319. It was assigned to this individual provider in the NPPES registry on February 29, 2024.

Where is Ethel Archer located?

Ethel Archer practices at 190 Springer Woods Blvd, Delaware, OH 43015. The listed phone number is (973) 289-5713.

What is Ethel Archer's specialty?

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

Is Ethel Archer enrolled in Medicare?

Yes. Ethel Archer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ethel Archer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethel Archer reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The 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 Ethel Archer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ethel Archer accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Ethel Archer 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 Ethel Archer was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.