NPIMap

Individual provider Active NPI

Ethan Taylor Sartor, MSN,APRN,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1619681988
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1026801 Issued in TX
Practice address
603 Munger Ave Ste 100-231
Dallas, TX 75202-1839
Phone
(214) 308-2829
NPI assigned
Jan 10, 2023
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1026801 TX Primary
Registered Nurse 163W00000X 1026801 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7271272 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G186334 IA

Addresses

Primary practice location

603 Munger Ave Ste 100-231
Dallas, TX 75202-1839

Mailing address

603 Munger Ave Ste 100-231
Dallas, TX 75202-1839
Phone (214) 308-2829

Other practice location 1

5151 Maple Ave
Dallas, TX 75235-8136
Phone (214) 590-8000

Other identifiers 1

IdentifierTypeStateIssuer
1026801OtherTXTEXAS BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260206003730 TX Practitioner - Nurse Practitioner 1951880285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1026801TXMDRegistered Nurse
G186334IAMDPsychiatric/Mental Health Nurse Practitioner
7271272IDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District CurrentSince Dec 31, 2025 Accepting new patients
Dallas County Hospital District CurrentSince Dec 31, 2025 Accepting new patients
Eclipse Health and Wellness, PLLC CurrentSince Sep 14, 2025 Accepting new patients
Prime Psychiatry PA Psychiatric/Mental Health PastSince Feb 1, 2023 Accepting new patients

Locations

5151 Maple Ave
Dallas, TX 75235
Phone (214) 266-0013

603 Munger Ave
Ste 100231
Dallas, TX 75202
Phone (214) 308-2829

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Organizations & group practices 5

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 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1619681988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 MUNGER AVE STE 100-231",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752021839",
            "telephone_number": "214-308-2829",
            "fax_number": "469-669-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 MUNGER AVE STE 100-231",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752021839",
            "telephone_number": "214-308-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752358136",
            "country_code": "US",
            "telephone_number": "214-590-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARTOR",
        "first_name": "ETHAN",
        "middle_name": "TAYLOR",
        "name_prefix": "Mr.",
        "credential": "MSN,APRN,PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1026801",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1026801",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "7271272",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G186334",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "1026801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.