JESSICA ETZKORN FNP-C
NPI 1275903981
Nurse Practitioner - Family in Lawrenceville, GA

Q: What is Jessica Etzkorn's NPI number?

The NPI number for Jessica Etzkorn is 1275903981. It was assigned to this individual provider in the NPPES registry on October 7, 2015.

Q: What is Jessica Etzkorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Etzkorn was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 07, 2015PECOS EnrolledAccepts Medicare Assignment

475 PHILIP BLVD STE 300, LAWRENCEVILLE, GA 30046(770) 995-3300 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 10, 2023, May 16, 2022 (2 updates tracked since 2022).

On this page

About Jessica Etzkorn Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ETZKORN FNP-C (NPI 1275903981) is an individual family provider in Lawrenceville, Georgia, licensed in Georgia (RN251834) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Vanderbilt University School Of Medicine (2015).

NPPES Registry Identity

NPI1275903981

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA ETZKORNCredential: FNP-C

Location Address475 PHILIP BLVD STE 300Lawrenceville, GA 30046-8736

Mailing Address10600 Medlock Bridge RdDuluth, GA 30097-8404 · (770) 995-3300

Phone(770) 995-3300

Sole ProprietorNo

Medical School CMSVanderbilt University School Of MedicineGraduated 2015

Enumeration DateOctober 7, 2015

Last NPPES UpdateJanuary 10, 20232 updates tracked since enumeration

NPPES CertifiedMay 17, 2022

✔ NPI 1275903981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN251834

475 PHILIP BLVD STE 300, Lawrenceville, GA 30046

Open in Google Maps ↗

Secondary Practice Locations 3

Location 13068 Old Norcross RdDuluth, GA 30096-4914 · Phone (770) 925-7232 · Fax (770) 638-3315

Location 2455 Beaver Ruin Rd NWLilburn, GA 30047-3413 · Phone (770) 923-7778 · Fax (770) 806-1383

Location 34580 Nelson Brogdon BlvdBuford, GA 30518-3478 · Phone (770) 831-6703 · Fax (770) 831-6705

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Etzkorn Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729389069

PECOS Enrollment IDI20151210002245

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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Etzkorn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gwinnett Clinic, Ltd

Same address

Multi-Specialty

475 PHILIP BLVD
Lawrenceville, GA 30046

Reassigned Medicare billing, Georgia enrollment
50 clinicians in this Medicare group

NPI 1548271026 (770) 995-3300

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 12

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

111 services71 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

86 services58 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

48 services23 patients

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.

40 services37 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

20 services15 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

18 services16 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

17 services16 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

16 services15 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

15 services15 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

13 services12 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers11 claims21 services$5.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAJA RAM MD

Family Medicine

475 PHILIP BLVD STE 300
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 995-3300

MAILUPILLAI KUMARESWARAN MD

Internal Medicine

475 PHILIP BLVD STE 300
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 995-3300

JINCY MATHEW THOMAS MD

Internal Medicine

475 PHILIP BLVD STE 300
LAWRENCEVILLE, GA 30046

Gwinnett County (770) 995-3300

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 Jessica Etzkorn's NPI number?

The NPI number for Jessica Etzkorn is 1275903981. It was assigned to this individual provider in the NPPES registry on October 7, 2015.

Where is Jessica Etzkorn located?

Jessica Etzkorn practices at 475 Philip Blvd Ste 300, Lawrenceville, GA 30046. The listed phone number is (770) 995-3300.

What is Jessica Etzkorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Etzkorn enrolled in Medicare?

Yes. Jessica Etzkorn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jessica Etzkorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Etzkorn reassigns Medicare benefits to Gwinnett Clinic, Ltd (Lawrenceville, GA). 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 Jessica Etzkorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Etzkorn accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Jessica Etzkorn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Etzkorn was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.