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

Megan Ettensohn, PA

Individual provider Physician Assistant · NPI 1134960784

Megan Ettensohn, PA is a Physician Assistant in Newburgh, Indiana. Qualified in 2024, 2 years ago. Practices with Deaconess Specialty Physicians, Inc, a 229-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4055 Gateway Blvd
Newburgh, IN 47630-7451
Phone: (812) 858-3051
Fax: (812) 858-3060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 77777777 (IN)

Record details

NPI number1134960784
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Deaconess Specialty Physicians, Inc — 229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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