ETIENNE KENFACK APN
NPI 1033677679
Nurse Practitioner - Primary Care in Jersey City, NJ
About Etienne Kenfack Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETIENNE KENFACK APN (NPI 1033677679) is an individual primary care provider in Jersey City, New Jersey, licensed in New Jersey (26NJ00905700) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Etienne Kenfack Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Etienne Kenfack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jersey City, NJ 07306
- Reassigned Medicare billing, New Jersey enrollment
- 35 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07306 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JERSEY CITY, NJ 07306
JERSEY CITY, NJ 07306
JERSEY CITY, NJ 07306
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Etienne Kenfack's NPI number?
The NPI number for Etienne Kenfack is 1033677679. It was assigned to this individual provider in the NPPES registry on March 2, 2019.
Where is Etienne Kenfack located?
Etienne Kenfack practices at 191 Palisade Ave, Jersey City, NJ 07306. The listed phone number is (201) 656-4324.
What is Etienne Kenfack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Etienne Kenfack enrolled in Medicare?
Yes. Etienne Kenfack is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Etienne Kenfack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Etienne Kenfack reassigns Medicare benefits to Pain And Disability Institute, P.C. (Jersey City, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Etienne Kenfack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Etienne Kenfack was last updated on March 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Etienne Kenfack, APN · NPI 1033677679
Primary Care physician in Jersey City, New Jersey. Individual provider, active in the CMS NPPES registry since March 2, 2019.
## Identity
- **NPI:** 1033677679 (Entity type: Individual)
- **Enumerated:** March 2, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 26NJ00905700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 191 PALISADE AVE, Jersey City, NJ 07306-1112
- **Phone:** (201) 656-4324 · **Fax:** (201) 656-4019
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pain And Disability Institute, P.C. (NPI 1306924725, Jersey City, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1033677679) · Data from the CMS NPPES public registry.