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

Q: 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.

Q: What is Cameron Ethridge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cameron Ethridge was last updated on September 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

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: October 18, 2026.

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

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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

Phone(918) 968-4469

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

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Other Identifiers 1

Medicaid200829490AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Cameron Ethridge reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Physicians Of Tulsa County, LLC

45 mi

Emergency Medicine

6161 S YALE AVE
Tulsa, OK 74136

Reassigned Medicare billing, Oklahoma enrollment
226 clinicians in this Medicare group

NPI 1003098773 (844) 474-4019

Ies ER Oklahoma LLC

45 mi

Emergency Medicine

6161 S YALE AVE
Tulsa, OK 74136

Reassigned Medicare billing, Oklahoma enrollment
263 clinicians in this Medicare group

NPI 1447148093 (918) 494-2200

Usacs Observation Medicine Services Of Oklahoma, LLC

45 mi

Emergency Medicine

6161 S YALE AVE
Tulsa, OK 74136

Reassigned Medicare billing, Oklahoma enrollment
300 clinicians in this Medicare group

NPI 1326739111 (844) 474-4019

One Cura Family Clinic-Anadarko, Inc.

103 mi

Clinic/Center

412 SOUTHEAST 11TH STREET
Anadarko, OK 73005

Reassigned Medicare billing, Oklahoma enrollment
7 clinicians in this Medicare group

NPI 1841646114 (714) 745-6191

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 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.

ONE CURA FAMILY CLINIC-STROUD, INC.

Clinic/Center