Aetherius Medical LLC
NPI 1851103063 · Family Medicine Physician · Noble, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Aetherius Medical LLC is a Family Medicine Physician organization in Noble, OK (NPI 1851103063).
Provider details
- NPI number
- 1851103063
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Krysten Mescan, Owner - Family Nurse Practitioner(405) 300-1476
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-23
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Frequently asked questions
- What is Aetherius Medical LLC's NPI number?
- Aetherius Medical LLC's National Provider Identifier (NPI) is 1851103063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aetherius Medical LLC?
- Aetherius Medical LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Aetherius Medical LLC located?
- Aetherius Medical LLC's practice location on file with NPPES is 408 N Main St, Noble, OK 73068-9574.
- What is Aetherius Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Aetherius Medical LLC is (405) 339-5261.
- Does Aetherius Medical LLC accept Medicare?
- Aetherius Medical LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Aetherius Medical LLC?
- The authorized official listed on Aetherius Medical LLC's NPPES record is Krysten Mescan, Owner - Family Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aetherius Medical LLC's NPI active?
- Yes — Aetherius Medical LLC's NPI (1851103063) is active in the NPPES registry as of the last update on 2025-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.