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BENJAMIN LAYNE EITHUN CRNP
NPI 1902132376
Nurse Practitioner - Pediatrics in Brodhead, WI

Active since October 20, 2009PECOS Enrolled
E401 23RD ST, BRODHEAD, WI 53520(262) 701-7257 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Mar 11, 2025, Sep 25, 2024 and 5 more (8 updates tracked since 2020).

About Benjamin Layne Eithun Crnp NPPES

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

BENJAMIN LAYNE EITHUN CRNP (NPI 1902132376) is an individual pediatrics provider in Brodhead, Wisconsin, licensed in Massachusetts (RN1000896) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902132376
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameBENJAMIN LAYNE EITHUNCredential: CRNP
Location AddressE401 23RD STBrodhead, WI 53520-2203
Mailing Address937 Merri Hill DrOregon, WI 53575-1001 · (608) 212-9866
Phone(262) 701-7257
Sole ProprietorNo
Enumeration DateOctober 20, 2009
Last NPPES UpdateJune 16, 20258 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1902132376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in MA · RN1000896✔ Licensed in IA · C178097
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5064 (WI)
E401 23RD ST, Brodhead, WI 53520
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 Hawkins DrIowa City, IA 52242-1009 · Phone (888) 573-5437 · Fax (319) 356-3949
Location 2300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas 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 (PECOS)

Benjamin Layne Eithun Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53520 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 5

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

KIMBERLEE DELORME
Occupational Therapy Assistant
E401 23RD ST
BRODHEAD, WI 53520
Green County (608) 897-3031
DAPHNE S JOHNSON
Physical Therapy Assistant
E401 23RD ST
BRODHEAD, WI 53520
Green County (608) 897-3031
LJ III HEALTH MANAGEMENT, INC
Skilled Nursing Facility
E401 23RD ST
BRODHEAD, WI 53520
Green County (608) 897-3031
JANELLE RITSCHARD PTA, LMT
Physical Medicine & Rehabilitation
E401 23RD ST
BRODHEAD, WI 53520
Green County (608) 897-3031
IRIS HEALTH CLINIC
Substance Abuse Rehabilitation Facility
E401 23RD ST
BRODHEAD, WI 53520
Green County (262) 420-9088

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 Benjamin Eithun's NPI number?

The NPI number for Benjamin Eithun is 1902132376. It was assigned to this individual provider in the NPPES registry on October 20, 2009.

Where is Benjamin Eithun located?

Benjamin Eithun practices at E401 23rd St, Brodhead, WI 53520. The listed phone number is (262) 701-7257.

What is Benjamin Eithun's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Benjamin Eithun enrolled in Medicare?

Yes. Benjamin Eithun is registered in the Medicare PECOS enrollment system.

What insurance does Benjamin Eithun accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Medica and Sanford Health Plan list Benjamin Eithun 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 Benjamin Eithun was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.