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MAE PET FETHERLIN FNP
NPI 1336092360
Nurse Practitioner - Family in El Cajon, CA

Active since February 18, 2026PECOS Enrolled
1634 PLANTATION WAY, EL CAJON, CA 92019(619) 395-8558 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mae Pet Fetherlin Fnp NPPES

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

MAE PET FETHERLIN FNP (NPI 1336092360) is an individual family provider in El Cajon, California, licensed in California (95038618) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1336092360
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAE PET FETHERLINCredential: FNP
Location Address1634 PLANTATION WAYEl Cajon, CA 92019-3603
Mailing Address1634 Plantation WayEl Cajon, CA 92019-3603 · (619) 395-8558
Phone(619) 395-8558
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1336092360 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 CA · 95038618
1634 PLANTATION WAY, El Cajon, CA 92019
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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)

Mae Pet Fetherlin Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991276230
PECOS Enrollment IDI20260608001103
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92019 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES

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

EXTENSIVE HEALTHCARE PROVIDERS A NURSING PROFESSIONAL CORPORATION
Nurse Practitioner
1634 PLANTATION WAY
EL CAJON, CA 92019
San Diego County (619) 395-8558

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 Mae Pet Fetherlin's NPI number?

The NPI number for Mae Pet Fetherlin is 1336092360. It was assigned to this individual provider in the NPPES registry on February 18, 2026.

Where is Mae Pet Fetherlin located?

Mae Pet Fetherlin practices at 1634 Plantation Way, El Cajon, CA 92019. The listed phone number is (619) 395-8558.

What is Mae Pet Fetherlin's specialty?

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

Is Mae Pet Fetherlin enrolled in Medicare?

Yes. Mae Pet Fetherlin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mae Pet Fetherlin was last updated on February 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.