ETTA H ECKERSTROM NP
NPI 1922745009
Nurse Practitioner - Psychiatric/Mental Health in Indianapolis, IN

Active since May 19, 2022PECOS Enrolled
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202(317) 217-2166 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 8, 2022, Jul 14, 2022, May 19, 2022 (3 updates tracked since 2022).

About Etta H Eckerstrom Np NPPES

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

ETTA H ECKERSTROM NP (NPI 1922745009) is an individual psychiatric/mental health provider in Indianapolis, Indiana, licensed in Indiana (71012784A) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922745009
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameETTA H ECKERSTROMCredential: NP
Location Address1701 N SENATE BLVDIndianapolis, IN 46202-1239
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Enumeration DateMay 19, 2022
Last NPPES UpdateAugust 8, 20223 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
NPI 1922745009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IN · 71012784A
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 28274003A (IN)
1701 N SENATE BLVD, Indianapolis, IN 46202

Secondary Practice Locations 2

Location 1400 W Campus DrOrange, CT 06477-3646 · Phone (203) 785-2389
Location 2355 W 16th St Ste 2800Indianapolis, IN 46202-2279 · Phone (317) 963-7300 · Fax (317) 963-7075

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)

Etta H Eckerstrom Np 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 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Anesthesiology
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Emergency Medicine
1701 N SENATE BLVD, B401
INDIANAPOLIS, IN 46202
Internal Medicine
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Critical Care Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
1701 N SENATE BLVD, RM AG 001
INDIANAPOLIS, IN 46202
Pediatrics (Pediatric Cardiology)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Sleep Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Radiology (Diagnostic Radiology)
1701 N SENATE BLVD, RADIOLOGY DEPT
INDIANAPOLIS, IN 46202

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 Etta Eckerstrom's NPI number?

The NPI number for Etta Eckerstrom is 1922745009. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Where is Etta Eckerstrom located?

Etta Eckerstrom practices at 1701 N Senate Blvd, Indianapolis, IN 46202. The listed phone number is (317) 217-2166.

What is Etta Eckerstrom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Etta Eckerstrom enrolled in Medicare?

Yes. Etta Eckerstrom is registered in the Medicare PECOS enrollment system.

What insurance does Etta Eckerstrom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Etta Eckerstrom 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 Etta Eckerstrom was last updated on August 8, 2022. 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.