Active NPI 1407419419 Individual Practitioner Male Practitioner

Ethan Axtman

Nurse Practitioner • Bemidji, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ethan Axtman is a certified Nurse Practitioner practicing in Bemidji, MN. With approximately 8 years of clinical experience since completing medical education in 2018, Ethan Axtman delivers high-quality medical care to the local community at 1300 ANNE ST NW.

Ethan Axtman is affiliated with Sanford Health Of Northern Minnesota and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 Anne St Nw

Bemidji, MN 566015103

Telephone 2183335000

Associated Practice Facility / Clinic

🏢 Sanford Health Of Northern Minnesota Facility NPI 1801870191

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bemidji, MN

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -1.6 yrs vs City Avg

City Avg: 9.6 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

37 Specialists

Practicing in Bemidji, MN (2609 Statewide)

Telehealth Adoption Rate

16.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

35.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Axtman (8 Years) 8 Yrs

Bemidji Specialty Average (9.6 Years) 9.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	566	405	$121.00	$78.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	150	150	$165.00	$107.03
99213 Established patient office or other outpatient visit, typically 15 minutes	63	57	$82.00	$53.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$101.00	$62.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	518	363	$121.43	$80.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$165.00	$109.19
99213 Established patient office or other outpatient visit, typically 15 minutes	70	61	$86.57	$54.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$118.91	$67.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	522	338	$121.40	$82.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	132	132	$167.11	$112.49
99213 Established patient office or other outpatient visit, typically 15 minutes	57	54	$86.11	$55.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$101.00	$69.00
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$279.36	$82.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	497	320	$114.09	$82.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$160.09	$112.87
99213 Established patient office or other outpatient visit, typically 15 minutes	56	50	$68.71	$56.13
99221 Initial hospital inpatient care per day, typically 30 minutes	14	13	$274.43	$82.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	451	305	$90.86	$66.22
99213 Established patient office or other outpatient visit, typically 15 minutes	70	63	$58.00	$42.51
99202 New patient office or other outpatient visit, typically 20 minutes	49	49	$58.00	$41.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$87.00	$63.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	166	136	$90.00	$64.87
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$58.00	$41.70
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$58.00	$42.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$87.00	$62.39

Medical Specialties & State Licenses

CMS Verified: 2020-05-10

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 2472321

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IA A145482

Definition to come...

Hospital & Practice Group Affiliations

Sanford Health Of Northern Minnesota

1611 Anne St Nw, Bemidji, MN 566015114

Phone: 2183335000

Sanford Health Of Northern Minnesota

1300 Anne St Nw, Bemidji, MN 566015103

Phone: 2183335000

Sanford Health Of Northern Minnesota

1233 34th St Nw, Bemidji, MN 566015112

Phone: 2183335522

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Kayla Mcclellan , AuD

Audiologist

NPI 1003392887

Doctor of Audiology

Deborah Steinbar , PA-C

Physician Assistant - Medical

NPI 1013230051

Physician Assistant (Certified)

Donna Shorter , PA-C

Physician Assistant

NPI 1013938232

Physician Assistant (Certified)

Dr. Benjamin Roy , MD

Surgery

NPI 1023076064

Doctor of Medicine (M.D.)

Kayla Kaiser , FNP-BC

Nurse Practitioner - Family

NPI 1023633096

Family Nurse Practitioner (Board Certified)

Dr. Rodney Will , MD

Internal Medicine

NPI 1033131628

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2020

Nurse Practitioner (License #2472321 in MN)

📍

Updated Practice Location July 02, 2019

Registered at 1300 ANNE ST NW, BEMIDJI, MN 566015103 (Tel: 2183335000)

📍

Updated Business Mailing Address July 02, 2019

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

✅

NPI Profile Active April 16, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location April 16, 2019

Registered at 1233 34TH ST NW, BEMIDJI, MN 566015112 (Tel: 2183335000)

📍

Updated Business Mailing Address April 16, 2019

Registered at 1233 34TH ST NW, BEMIDJI, MN 566015112

👤

Provider Name / Credentials Updated April 16, 2019

Recorded as ETHAN AXTMAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2019

Nurse Practitioner (License #A145482 in IA)

🟢

Initial NPI Registration & Enumeration April 16, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407419419

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 16, 2019

Last Update: May 10, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.