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Active NPI 1902132376 Individual Practitioner Male Practitioner

Benjamin Layne Eithun , CRNP

Nurse Practitioner - Pediatrics • Brodhead, WI

Professional Overview & Biography Verified Profile Summary

Benjamin Eithun, CRNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Brodhead, WI. Practice services are available at E401 23RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

E401 23rd St

Brodhead, WI 535202203

Telephone 2627017257
Associated Practice Facility / Clinic
🏢 Lj Iii Health Management, Inc Facility NPI 1750482709

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Brodhead, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Brodhead, WI (408 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-16
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MA RN1000896

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License WI 5064

(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 - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License IA C178097

Definition to come...

Secondary Practice Locations

200 Hawkins Dr

Iowa City, IA 522421009

Phone: 8885735437

300 Longwood Ave

Boston, MA 021155724

Phone: 6173556000

Practice Associates & Co-Workers

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

2 Associated Practitioners
Jessica Hoisington , LCSW

Social Worker - Clinical

NPI 1104532175

Licensed Clinical Social Worker

Jasen Eberhardt , SAC-IT

Counselor - Addiction (Substance Use Disorder)

NPI 1376021782

SACIT

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2024

Nurse Practitioner (License #5064 in WI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2024

Nurse Practitioner (License #RN1000896 in MA)

📍
Updated Practice Location May 06, 2024

Registered at E401 23RD ST, BRODHEAD, WI 535202203 (Tel: 2627017257)

📍
Updated Business Mailing Address May 06, 2024

Registered at 937 MERRI HILL DR, OREGON, WI 535751001 (Tel: 6082129866)

📍
Updated Business Mailing Address June 08, 2020

Registered at 7974 UW HEALTH CT, MIDDLETON, WI 535625531

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2020

Nurse Practitioner (License #5064 in WI)

📍
Updated Practice Location April 17, 2020

Registered at 1675 HIGHLAND AVE, MADISON, WI 537925127 (Tel: 6088908907)

📍
Updated Business Mailing Address April 17, 2020

Registered at 5580 CHERYL DR, FITCHBURG, WI 537115358 (Tel: 6088908907)

NPI Profile Active October 20, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2009

Registered at 3400 CIVIC CENTER BLVD, PICU, PHILADELPHIA, PA 191045127 (Tel: 2155901000)

📍
Updated Business Mailing Address October 20, 2009

Registered at 3400 CIVIC CENTER BLVD, PICU, PHILADELPHIA, PA 191045127 (Tel: 2155901000)

👤
Provider Name / Credentials Updated October 20, 2009

Recorded as BENJAMIN EITHUN, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2009

Nurse Practitioner (License #SP010490 in PA)

🟢
Initial NPI Registration & Enumeration October 20, 2009

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: 1902132376
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2009
Last Update: June 16, 2025
Sole Proprietor: No

Mailing Address

937 Merri Hill Dr

Oregon, WI 535751001

Phone: 6082129866

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.