ETHAN NEWHAM (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1013524891

ETHAN NEWHAM (AGACNP-BC) is a healthcare provider. based in Richmond, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. 0024180239 (VA). The NPI Number for ETHAN NEWHAM (AGACNP-BC) is 1013524891

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ETHAN NEWHAM (AGACNP-BC)
NPI
1013524891
Phone
(800) 762-6161
Address
1213 E CLAY ST
Enumeration Date
25 September 2020
Last Update Date
14 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8047655000
Graduation Year
2020 (6 years ago)
PAC ID
8123435344
Group Practice PAC ID
1759611411
Professional Enrollment ID
I20210405001971
Address ID
VA238059274PE200XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for ETHAN NEWHAM (AGACNP-BC)

  • 1213 E CLAY ST

    RICHMOND, VA 232985071

    Phone: (800) 762-6161

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-03-21 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210405001971INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes16094$0
View full utilization report →

Insurance plans in this area (ZIP 23298)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759611411View full group profile
NameSpecialtyState
Cardiac SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep Medicine, Internal MedicineFL
Nurse PractitionerMD
Critical Care (Intensivists)VA
Critical Care (Intensivists)VA
Nurse PractitionerVA
Nurse PractitionerGA
Internal MedicineLA
Internal MedicineNE
Internal MedicineWV

Reviews

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Frequently asked questions

Can I use this page to confirm ETHAN NEWHAM (AGACNP-BC)'s NPI?
Yes. ETHAN NEWHAM (AGACNP-BC) is listed with NPI 1013524891 in the public NPI dataset.
Does the file indicate ETHAN NEWHAM (AGACNP-BC) is practicing under active NPI?
Directory data currently reports ETHAN NEWHAM (AGACNP-BC) as active.
What healthcare role does ETHAN NEWHAM (AGACNP-BC) hold?
Scheduling teams often label ETHAN NEWHAM (AGACNP-BC) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for ETHAN NEWHAM (AGACNP-BC)?
ETHAN NEWHAM (AGACNP-BC)'s geographic hint is Richmond, Virginia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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