Nathan John Ethridge, PA-C
NPI 1316354400ActiveIndividual· Physician Assistant· Fort Mohave, AZ
Physician Assistant (PA-C) with Tempe Emergency Physicians Ltd, practicing in Fort Mohave, Arizona. 660 Medicare patients in 2024, $74,857 paid; nearly all of their 644 Part D prescriptions were generic (93%). Lists Western Arizona Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1316354400 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 21, 2014 |
| Last updated in NPPES | Oct 26, 2021 |
| Certified by provider | Oct 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5750 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 660 |
|---|---|
| Services billed | 1,067 across 25 procedure codes |
| Paid by Medicare | $74,857 |
Part D prescriptions in 2024
| Prescriptions (claims) | 644 · 652 30-day fills |
|---|---|
| Patients | 430 |
| Total drug cost | $22,173 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Tempe Emergency Physicians LtdBullhead City, AZ · 15 clinicians
Hospital affiliation
- Western Arizona Regional Medical CenterBullhead City, AZ
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Fort Mohave
- 1124309844
- 1548080963
- 1639126063