CAMERON KEITH ETHRIDGE APRN
NPI 1902361413
Nurse Practitioner in Stroud, OK

Active since February 08, 2019PECOS Enrolled
2308B W HIGHWAY 66, STROUD, OK 74079(918) 968-4469(918) 987-1622 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2020, Feb 8, 2019 (2 updates tracked since 2019).

About Cameron Keith Ethridge Aprn NPPES

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

CAMERON KEITH ETHRIDGE APRN (NPI 1902361413) is an individual nurse practitioner in Stroud, Oklahoma, licensed in Oklahoma (121857) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902361413
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameCAMERON KEITH ETHRIDGECredential: APRN
Location Address2308B W HIGHWAY 66Stroud, OK 74079-6729
Mailing AddressPo Box 777Stroud, OK 74079-0777 · (918) 290-9216
Fax(918) 987-1622
Sole ProprietorNo
Enumeration DateFebruary 8, 2019
Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2020
NPI 1902361413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OK · 121857
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2308B W HIGHWAY 66, Stroud, OK 74079

Other Identifiers 1

Medicaid200829490AOK

Accepted 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)

Cameron Keith Ethridge Aprn 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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services45 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services13 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74079 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers17 claims17 services$211.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Clinic/Center
2308B W HIGHWAY 66
STROUD, OK 74079
Nurse Practitioner
2308B W HIGHWAY 66
STROUD, OK 74079
Family Medicine
2308B W HIGHWAY 66
STROUD, OK 74079
Nurse Practitioner
2308B W HIGHWAY 66
STROUD, OK 74079
Family Medicine
2308B W HIGHWAY 66
STROUD, OK 74079
Physician Assistant (Medical)
2308B W HIGHWAY 66
STROUD, OK 74079

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 Cameron Ethridge's NPI number?

The NPI number for Cameron Ethridge is 1902361413. It was assigned to this individual provider in the NPPES registry on February 8, 2019.

Where is Cameron Ethridge located?

Cameron Ethridge practices at 2308B W Highway 66, Stroud, OK 74079. The listed phone number is (918) 968-4469.

What is Cameron Ethridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cameron Ethridge enrolled in Medicare?

Yes. Cameron Ethridge is registered in the Medicare PECOS enrollment system.

What insurance does Cameron Ethridge accept?

Health plans from Medica and Mending Health list Cameron Ethridge 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 Cameron Ethridge was last updated on September 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.