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ETHAN A DOERGER NP
NPI 1669295762
Nurse Practitioner - Family in Oklahoma City, OK

Active since November 06, 2024PECOS EnrolledAccepts Medicare Assignment
1919 E MEMORIAL RD, OKLAHOMA CITY, OK 73131(405) 341-7009(405) 330-1811 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2025, Mar 31, 2025, Nov 6, 2024 (3 updates tracked since 2024).

About Ethan A Doerger Np NPPES

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

ETHAN A DOERGER NP (NPI 1669295762) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (203758) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669295762
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameETHAN A DOERGERCredential: NP
Location Address1919 E MEMORIAL RDOklahoma City, OK 73131-1253
Mailing Address1919 E Memorial RdOklahoma City, OK 73131-1253 · (405) 341-7009 · Fax (405) 330-1811
Phone(405) 341-7009
Fax(405) 330-1811
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 6, 2024
Last NPPES UpdateMay 21, 20253 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1669295762 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 OK · 203758
Also ListedRegistered NurseTaxonomy 163W00000X · License 203758 (OK)
1919 E MEMORIAL RD, Oklahoma City, OK 73131
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending 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

Ethan A Doerger Np 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 ID6002330487
PECOS Enrollment IDI20250407002760
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.

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73131 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 20

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

SACHIDANANDAN NAIDU M.D.
Specialist
1919 E MEMORIAL RD
OKLAHOMA CITY, OK 73131
Oklahoma County (405) 341-7009
CATHY A. GESELL C.N.S.
Clinical Nurse Specialist (Pediatrics)
1919 E MEMORIAL RD
OKLAHOMA CITY, OK 73131
Oklahoma County (405) 341-7009
MR. RICHARD WATKINS RN
Nurse Practitioner (Family)
1919 E MEMORIAL RD
OKLAHOMA CITY, OK 73131
Oklahoma County (405) 341-7009
KARISA LYNNE DURBIN PA-C
Physician Assistant
1919 E MEMORIAL RD
OKLAHOMA CITY, OK 73131
Oklahoma County (405) 341-7009
MERCY HEALTH NETWORK INC
Pediatrics
1919 E MEMORIAL RD
OKLAHOMA CITY, OK 73131
Oklahoma County (405) 341-7009
DR. GARY MONROE LAWRENCE M.D.
Family Medicine
1919 E MEMORIAL RD
OKLAHOMA CITY, OK 73131
Oklahoma County (405) 341-7009
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1919 E MEMORIAL RD
OKLAHOMA CITY, OK 73131
Oklahoma County (405) 341-7009
RENU CHACKO APRN
Nurse Practitioner
1919 E MEMORIAL RD
OKLAHOMA CITY, OK 73131
Oklahoma County (405) 341-7009

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 Doerger's NPI number?

The NPI number for Ethan Doerger is 1669295762. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Where is Ethan Doerger located?

Ethan Doerger practices at 1919 E Memorial Rd, Oklahoma City, OK 73131. The listed phone number is (405) 341-7009.

What is Ethan Doerger's specialty?

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

Is Ethan Doerger enrolled in Medicare?

Yes. Ethan Doerger 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 Doerger accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Ethan Doerger 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 Doerger affiliated with any hospitals?

According to CMS data, Ethan Doerger is affiliated with Mercy Hospital Oklahoma City, Inc.

When was this NPI record last updated?

The NPPES record for Ethan Doerger was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.