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Active NPI 1174162481 Individual Practitioner Male Practitioner

Ethan Klausmeyer , PA-C

Physician Assistant • Warwick, RI

Professional Overview & Biography Verified Profile Summary

Ethan Klausmeyer, PA-C is a registered healthcare professional specializing in Physician Assistant in Warwick, RI. Practice services are available at 17 AIRPORT RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17 Airport Rd

Warwick, RI 028891001

Telephone 4016063110
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Warwick, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.1 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
84 Specialists

Practicing in Warwick, RI (687 Statewide)

Telehealth Adoption Rate
13.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99285 Emergency department visit for life threatening or functioning severity
63 62 $1650.37 $151.94
99284 Emergency department visit with moderate level of medical decision making
61 60 $1118.21 $108.65
99283 Emergency department visit with low level of medical decision making
15 15 $589.41 $64.04

Medical Specialties & State Licenses

CMS Verified: 2025-08-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License RI PA01425

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License MD C0009110

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

1 Kettle Point Ave

East Providence, RI 029145375

Phone: 4014571500

675 Paramount Dr Ste 301

Raynham, MA 027675416

Phone: 4014571500

Practice Associates & Co-Workers

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

3 Associated Practitioners
Elizabeth Jones

Nurse Practitioner - Family

NPI 1558953687
Victoria Hartley , PA-C

Physician Assistant

NPI 1689423410

Physician Assistant (Certified)

Jennifer Silvia

Nurse Practitioner - Family

NPI 1962089524

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2025

Physician Assistant (License #C0009110 in MD)

📍
Updated Practice Location December 01, 2022

Registered at 17 AIRPORT RD, WARWICK, RI 028891001 (Tel: 4016063110)

📍
Updated Business Mailing Address December 01, 2022

Registered at 117 ELLENFIELD ST STE 101, PROVIDENCE, RI 029054541 (Tel: 4014446779)

📍
Updated Practice Location January 26, 2022

Registered at 1 KETTLE POINT AVE, EAST PROVIDENCE, RI 029145375 (Tel: 4014571500)

📍
Updated Business Mailing Address January 26, 2022

Registered at PO BOX 1119, PROVIDENCE, RI 029011119

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2022

Physician Assistant (License #PA01425 in RI)

NPI Profile Active January 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2020

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018 (Tel: 9542621250)

📍
Updated Business Mailing Address January 03, 2020

Registered at 3200 S UNIVERSITY DR, DAVIE, FL 333282018 (Tel: 9542621250)

👤
Provider Name / Credentials Updated January 03, 2020

Recorded as ETHAN KLAUSMEYER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2020

Student in an Organized Health Care Education/Training Program (License #390200000X in FL)

🟢
Initial NPI Registration & Enumeration January 03, 2020

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: 1174162481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2020
Last Update: August 06, 2025
Sole Proprietor: No

Mailing Address

117 Ellenfield St Ste 101

Providence, RI 029054541

Phone: 4014446779

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.