Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Ethan Axtman

Nurse Practitioner โ€ข Bemidji, MN

Active NPI 1407419419 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

1300 Anne St Nw
Bemidji, MN 566015103

Call 2183335000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1300 Anne St Nw

Bemidji, MN 566015103

Telephone 2183335000
Organization at the Same NPPES Address or Phone
Sanford Health Of Northern Minnesota Facility NPI 1801870191

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Sanford Health Of Northern Minnesota. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

Medicare patients

592 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $64,960 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $46,167 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

5,531 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$292,028 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $48.03 across 2 records.

By nature of payment

  • Food and Beverage: $48.03 across 2 records.

Reporting-company totals

  • Medtronic, Inc.: $24.95 across 1 record.
  • Procept Biorobotics Corporation: $23.08 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Ethan Axtman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Ethan Axtman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bemidji and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Bemidji, MN (2024, 20 clinicians with data). Median for this group: 282. Middle half: 54 to 443.

More Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Minnesota (2024, 1,302 clinicians with data). Median for this group: 183. Middle half: 74 to 372.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Bemidji, MN (2024, 20 clinicians with data). Median for this group: $19,462. Middle half: $2,735 to $29,049.

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Minnesota (2024, 1,302 clinicians with data). Median for this group: $14,831. Middle half: $5,974 to $29,843.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Bemidji, MN (2024, 20 clinicians with data). Median for this group: $13,851. Middle half: $1,722 to $22,240.

A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Minnesota (2024, 1,302 clinicians with data). Median for this group: $10,885. Middle half: $4,391 to $22,242.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Nurse Practitioner in Bemidji, MN (2024, 18 clinicians with data). Median for this group: 429. Middle half: 178 to 989.

More Part D prescriptions than 85% of clinicians listed under Nurse Practitioner in Minnesota (2024, 1,222 clinicians with data). Median for this group: 260. Middle half: 78 to 1,006.

Part D drug cost

A higher Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Bemidji, MN (2024, 18 clinicians with data). Median for this group: $17,793. Middle half: $1,810 to $369,480.

A higher Part D drug cost than 85% of clinicians listed under Nurse Practitioner in Minnesota (2024, 1,222 clinicians with data). Median for this group: $13,678. Middle half: $1,290 to $110,944.

36 active clinicians are listed under Nurse Practitioner with a practice address in Bemidji, MN (2,583 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bemidji

16.7% of these 36 clinicians have the CMS telehealth indicator.

66.7% of these 36 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $48.03.

Manufacturer Payment Nature Product Type Amount ($)
Medtronic, Inc.
Food and Beverage
In-kind items and services
INTERSTIM General $24.95
Procept Biorobotics Corporation
Food and Beverage
In-kind items and services
AQUABEAM ROBOTIC SYSTEM General $23.08

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2019โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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 with low level od decision making, if using time, 20 minutes or more
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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tamsulosin Hcl Tamsulosin Hcl 915 61,777 $17,749.20 264
Finasteride Finasteride 494 34,126 $7,116.76 130
Myrbetriq Mirabegron 285 11,285 $167,674.05 51
Gemtesa Vibegron 122 4,373 $70,007.86 19
Solifenacin Succinate Solifenacin Succinate 110 8,024 $7,631.55 37
Alfuzosin Hcl Er Alfuzosin Hcl 95 8,110 $2,577.10 36
Trospium Chloride Trospium Chloride 68 3,960 $3,504.14 20
Cefdinir Cefdinir 67 490 $961.77 60
Dutasteride Dutasteride 61 4,394 $2,697.42 21
Cephalexin Cephalexin 60 1,399 $374.15 23
Ciprofloxacin Hcl Ciprofloxacin Hcl 58 694 $208.91 39
Estradiol Estradiol 54 7,424 $3,492.48 42
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 53 775 $393.00 40
Oxybutynin Chloride Er Oxybutynin Chloride 44 1,484 $808.24 โ€”
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 38 919 $171.86 20
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 35 725 $602.79 21
Methenamine Hippurate Methenamine Hippurate 27 1,273 $2,038.22 โ€”
Doxazosin Mesylate Doxazosin Mesylate 21 1,334 $273.98 โ€”
Trospium Chloride Er Trospium Chloride 18 1,140 $3,187.15 โ€”
Doxycycline Hyclate Doxycycline Hyclate 17 597 $65.47 โ€”
Terazosin Hcl Terazosin Hcl 14 711 $305.02 โ€”
Tadalafil Tadalafil 12 600 $187.14 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-05-10
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES 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

License # reported to NPPES IA A145482
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20190715000749

Enrollment State Jurisdiction

MN

PECOS Control ID

6204161136

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1417591975

Doctor of Medicine (M.D.)

Dr. Kris Anderson , MD

Internal Medicine

NPI 1558389296

Doctor of Medicine (M.D.)

Tiffany Axtman

Nurse Practitioner

NPI 1699397042
NPI 1790419752

Doctor of Medicine (M.D.)

Ronald Bardwell , CRNA

Nurse Anesthetist, Certified Registered

NPI 1356446694

Certified Registered Nurse Anesthetist

Dr. Wobo Bekwelem , MD

Internal Medicine - Interventional Cardiology

NPI 1962720136

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2020

Nurse Practitioner (license number reported to NPPES: MN 2472321)

๐Ÿ“
Updated Practice Location July 02, 2019

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

๐Ÿ“
Updated Business Mailing Address July 02, 2019

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

โœ…
NPI Profile Active April 16, 2019

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 16, 2019

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

๐Ÿ“
Business Mailing Address (Initial Record) April 16, 2019

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 16, 2019

Recorded as ETHAN AXTMAN

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2019

Nurse Practitioner (license number reported to NPPES: IA A145482)

๐ŸŸข
Initial NPI Registration & Enumeration April 16, 2019

First registered as active Individual Practitioner in NPPES Database.

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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

Other Nurse Practitioners in Bemidji

All Nurse Practitioners in Bemidji

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.