Ethan Pearson, MSN, APRN, FNP-C in Fort Smith, AR

Ethan Pearson, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Smith, Arkansas. His current practice location is 7001 Rogers Ave, Fort Smith, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 314-6000.

Ethan Pearson is licensed to practice in Oklahoma (license number 201449) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184211187.

Contact Information

	Ethan Pearson, MSN, APRN, FNP-C
	7001 Rogers Ave, Fort Smith, AR 72903-4073
	(479) 314-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ethan Pearson
Gender	Male
Speciality	Nurse Practitioner - Family
Location	7001 Rogers Ave, Fort Smith, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184211187
Provider Enumeration Date: 12/23/2020
Last Update Date: 09/02/2022

Medicare PECOS Information:

PECOS PAC ID: 9436529138
Enrollment ID: I20221221000141

Medical Identifiers

Medical identifiers for Ethan Pearson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184211187	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	132425 (Oklahoma)	Secondary
363LF0000X	Nurse Practitioner - Family	214768 (Arkansas)	Secondary
363LF0000X	Nurse Practitioner - Family	201449 (Oklahoma)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ethan Pearson allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210505002298

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethan Pearson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ethan Pearson, MSN, APRN, FNP-C 476954 E 1094 Rd, Roland, OK 74954-5061 Ph: (479) 926-6037	Ethan Pearson, MSN, APRN, FNP-C 7001 Rogers Ave, Fort Smith, AR 72903-4073 Ph: (479) 314-6000

Reviews and Comments

Nurse Practitioner Nurses in Fort Smith, AR

Valentina Nastasi, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 Rogers Ave, Fort Smith, AR 72903 Phone: 479-226-8340
Mrs. Tonya Renea Allen, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3112 S 70th St, Fort Smith, AR 72903 Phone: 479-452-8600
Mandi T Williams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7217 Cameron Park Dr, Fort Smith, AR 72903 Phone: 479-831-6007 Fax: 479-782-1242
Tracy Lynn Fisher, APN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4900 Kelley Hwy, Fort Smith, AR 72904 Phone: 479-785-5700 Fax: 479-785-5708
Mrs. Athena Frangos-pasley, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1500 Dodson Ave, Fort Smith, AR 72901 Phone: 479-709-6850
Mrs. Gayla Denise Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7301 Rogers Ave, Fort Smith, AR 72903 Phone: 479-484-6000
Dabney Herrold, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3420 S 74th St, Fort Smith, AR 72903 Phone: 479-573-3740

Ethan Pearson, MSN, APRN, FNP-C - Medicare Nurse Practitioner in Fort Smith, AR