Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blaine C Etzel, PA-C

Individual provider Physician Assistant · NPI 1881686590

Blaine C Etzel, PA-C is a Physician Assistant in Smithfield, North Carolina. Graduated from University of Washington School of Medicine in 2000, 26 years ago. Practices with Emergeortho PA, a 724-clinician group and accepts Medicare assignment. Licensed in Montana, North Carolina and Washington.

Years since qualifying
26
Trained at
University of Washington School of Medicine
Licensed in
MT, NC, WA
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 Kellie Dr
Smithfield, NC 27577-9444
Phone: (919) 220-5255
Fax: (919) 313-1276
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10604 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA10004050 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 299 (MT)

Record details

NPI number1881686590
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 18, 2005
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 23, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Emergeortho Pa — 724 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

Other providers in Smithfield