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MIKEL SHEA EHNTHOLT
NPI 1790139780
Psychiatry & Neurology - Neurology in Camden, NJ

Active since April 16, 2016PECOS EnrolledAccepts Medicare Assignment
1600 HADDON AVE FL 6, CAMDEN, NJ 08103(856) 757-3500 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2024, Oct 4, 2023 (2 updates tracked since 2023).

About Mikel Shea Ehntholt NPPES

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

MIKEL SHEA EHNTHOLT (NPI 1790139780) is an individual neurology provider in Camden, New Jersey, licensed in New Jersey (25MA11936200) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790139780
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMIKEL SHEA EHNTHOLT
Location Address1600 HADDON AVE FL 6Camden, NJ 08103-3101
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197
Phone(856) 757-3500
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 16, 2016
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1790139780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · 25MA11936200
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 25MA11936200 (NJ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1600 HADDON AVE FL 6, Camden, NJ 08103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mikel Shea Ehntholt 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 ID2264896000
PECOS Enrollment IDI20230913001566
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 Reassignments

3

Medicare enrollment records show Mikel Ehntholt reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virtua Medical Group, PA
2.4 mi
Urgent Care
602 W CUTHBERT BLVD UNIT 26 STE A
Haddon Township, NJ 08108
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1932659778 (856) 946-5180
Dickinson County Healthcare System
765 mi
Rural Health
500 MAIN ST
Norway, MI 49870
  • Reassigned Medicare billing, Michigan and New Jersey enrollments
  • Also billed through NPI 1891751186 (New Jersey)
  • 136 clinicians in this Medicare group
NPI 1053580365 (906) 563-9255
Mchs Hospitals Inc
838 mi
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1093221434 (715) 387-5511

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

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
160 services86 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
119 services115 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services13 patients

Hospital Affiliations CMS Care Compare 3

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08103 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

SIVAKOTI NAGIREDDY GUDA M.D
Hospitalist
1600 HADDON AVE FL 6
CAMDEN, NJ 08103
Camden County (856) 757-3500
MRS. AMANDA WHITE P.A.
Physician Assistant (Medical)
1600 HADDON AVE FL 6
CAMDEN, NJ 08103
Camden County (856) 757-3500
MICHAEL ISAAC HACKMAN M.D
Hospitalist
1600 HADDON AVE FL 6
CAMDEN, NJ 08103
Camden County (856) 757-3500
DR. AMIT H RAY M.D
Hospitalist
1600 HADDON AVE FL 6
CAMDEN, NJ 08103
Camden County (856) 757-3500
NELLY GRIGORYAN MD
Hospitalist
1600 HADDON AVE FL 6
CAMDEN, NJ 08103
Camden County (856) 757-3500
REBECCA ABEYAWARDENE
Nurse Practitioner (Acute Care)
1600 HADDON AVE FL 6
CAMDEN, NJ 08103
Camden County (856) 247-2160
VANESSA SALASKY
Psychiatry & Neurology (Neurology)
1600 HADDON AVE FL 6
CAMDEN, NJ 08103
Camden County (856) 757-3500
EVAN FLORIN
Hospitalist
1600 HADDON AVE FL 6
CAMDEN, NJ 08103
Camden County (856) 757-3500

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 Mikel Ehntholt's NPI number?

The NPI number for Mikel Ehntholt is 1790139780. It was assigned to this individual provider in the NPPES registry on April 16, 2016.

Where is Mikel Ehntholt located?

Mikel Ehntholt practices at 1600 Haddon Ave Fl 6, Camden, NJ 08103. The listed phone number is (856) 757-3500.

What is Mikel Ehntholt's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mikel Ehntholt enrolled in Medicare?

Yes. Mikel Ehntholt 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.

Which organizations bill Medicare for Mikel Ehntholt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikel Ehntholt reassigns Medicare benefits to 3 organizations: Virtua Medical Group, PA (Haddon Township, NJ), Dickinson County Healthcare System (Norway, MI) and Mchs Hospitals Inc (Marshfield, WI). Each 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 Mikel Ehntholt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mikel Ehntholt accept?

Health plans from Anthem Blue Cross and Blue Shield, Sanford Health Plan and Security Health Plan list Mikel Ehntholt 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 Mikel Ehntholt affiliated with any hospitals?

According to CMS data, Mikel Ehntholt is affiliated with West Jersey Hospital, Virtua Our Lady Of Lourdes Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Mikel Ehntholt was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.