ETIENNE KENFACK APN
NPI 1033677679
Nurse Practitioner - Primary Care in Jersey City, NJ

Q: 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.

Q: What is Etienne Kenfack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Etienne Kenfack was last updated on March 2, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 02, 2019PECOS Enrolled

191 PALISADE AVE, JERSEY CITY, NJ 07306(201) 656-4324(201) 656-4019 Get Directions Write a Review

NPPES record last updated: March 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1033677679

Entity TypeIndividualMale

Primary Taxonomy363LP2300X

Provider Legal NameETIENNE KENFACKCredential: APN

Location Address191 PALISADE AVEJersey City, NJ 07306-1112

Mailing Address42 Chester AveIrvington, NJ 07111-3142 · (862) 224-0668

Phone(201) 656-4324

Fax(201) 656-4019

Sole ProprietorNo

Enumeration DateMarch 2, 2019

✔ NPI 1033677679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NJ · 26NJ00905700

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00905700 (NJ)

191 PALISADE AVE, Jersey City, NJ 07306

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etienne Kenfack Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

102 services85 patients

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.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.