THOMAS LEE ETHERTON NP-C
NPI 1912547365
Nurse Practitioner - Primary Care in Olympia, WA

Q: What is Thomas Etherton's NPI number?

The NPI number for Thomas Etherton is 1912547365. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Q: What is Thomas Etherton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Etherton was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 14, 2020PECOS Enrolled

2610 YELM HWY SE, OLYMPIA, WA 98501(360) 915-9389 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2021, Feb 23, 2021, Jan 14, 2020 (3 updates tracked since 2020).

On this page

About Thomas Lee Etherton Np-c NPPES

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

THOMAS LEE ETHERTON NP-C (NPI 1912547365) is an individual primary care provider in Olympia, Washington, licensed in Washington (AP61034795) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912547365

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameTHOMAS LEE ETHERTONCredential: NP-C

Location Address2610 YELM HWY SEOlympia, WA 98501-4826

Mailing Address2610 Yelm Hwy SeOlympia, WA 98501-4826 · (360) 915-9389

Phone(360) 915-9389

Sole ProprietorYes

Enumeration DateJanuary 14, 2020

Last NPPES UpdateAugust 12, 20213 updates tracked since enumeration

NPPES CertifiedJuly 21, 2021

✔ NPI 1912547365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in WA · AP61034795

2610 YELM HWY SE, Olympia, WA 98501

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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)

Thomas Lee Etherton Np-c 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 98501 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 2

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

ETHERTON, INC

Family Medicine (Adult Medicine)

2610 YELM HWY SE
OLYMPIA, WA 98501

Thurston County (360) 870-2011

PREMIER HEALTH, LLC

Clinic/Center (Health Service)

2610 YELM HWY SE
OLYMPIA, WA 98501

Thurston County (360) 915-9389

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 Thomas Etherton's NPI number?

The NPI number for Thomas Etherton is 1912547365. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Where is Thomas Etherton located?

Thomas Etherton practices at 2610 Yelm Hwy SE, Olympia, WA 98501. The listed phone number is (360) 915-9389.

What is Thomas Etherton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Thomas Etherton enrolled in Medicare?

Yes. Thomas Etherton is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Etherton accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thomas Etherton 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 Thomas Etherton was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.