Individual provider Active NPI

Kimberly Elizabeth Etherington, PA

  • Medical Physician Assistant
  • Algona, IA
National Provider Identifier
1265511489
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001109 Issued in IA
Practice address
1519 S Phillips St
Algona, IA 50511-3649
Phone
(515) 295-2451
Fax
(515) 295-4505
NPI assigned
Nov 6, 2006
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001109 IA Primary

Addresses

Primary practice location

1519 S Phillips St
Algona, IA 50511-3649

Mailing address

1519 S Phillips St
Algona, IA 50511-3649
Phone (515) 295-2451

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address etherink@komhn.cernerdirect.com Direct KOSSUTH REGIONAL HEALTH CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191009002465 IA Practitioner - Physician Assistant 4587887682 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians
Kossuth Regional Health CenterGroup PAC ID 3375454259, 21 clinicians
Mercyone UrgentcareGroup PAC ID 6002294907, 22 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800

1515 S Phillips St
Algona, IA 50511-3649

1519 S Phillips St
Algona, IA 50511-3649

1631 4TH St SW
Suite 114
Mason City, IA 50401-1612
Phone (225) 239-7190

2400 Lillian Way
Clinton, IA 52732-2001
Phone (225) 239-7190

621 S Illinois Ave
100 Mercyone Regency Family Medicine
Mason City, IA 50401-5489
Phone (641) 428-6900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
73.89
Promoting interoperability
93
Improvement activities
40
Cost
70.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics CurrentSince Sep 30, 2019 Accepting new patients
Kossuth Regional Health Center CurrentSince May 14, 2025 Accepting new patients
Mercyone Urgentcare CurrentSince Jan 1, 2023 Accepting new patients
Kossuth Regional Health Center CurrentSince May 14, 2025 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Sep 30, 2019 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Kossuth Regional Health Center Past Accepting new patients
North Iowa Mercy Clinics Past Accepting new patients

Locations

1515 S Phillips St
Algona, IA 50511
Phone (515) 295-2451

1519 S Phillips St
Algona, IA 50511
Phone (515) 295-2451

1410 6th Ave S
Clear Lake, IA 50428
Phone (641) 357-2191

2400 Lillian Way
Clinton, IA 52732
Phone (563) 243-1200

6601 SW 9th St
Ste 3
Des Moines, IA 50315
Phone (515) 461-9786

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

Interoperability endpoints

  • Direct secure messaging: etherink@komhn.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8461b39c-bf4d-446e-92d9-25827935f03f/
  • Direct secure messaging: ketherington3944324@direct.trinity-health.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1265511489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 S PHILLIPS ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505113649",
            "telephone_number": "515-295-2451",
            "fax_number": "515-295-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S PHILLIPS ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505113649",
            "telephone_number": "515-295-2451",
            "fax_number": "515-295-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHERINGTON",
        "first_name": "KIMBERLY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etherink@komhn.cernerdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Kossuth Regional Direct Email Address",
            "affiliationName": "KOSSUTH REGIONAL HEALTH CENTER",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1519 S Phillips St",
            "city": "Algona",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505113649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Algona, IA

Sources for this page

Verify at the official NPI Registry.