Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MIRIAM ETIENNE DNP, FNP-BC
NPI 1336761378
Nurse Practitioner - Family in Foster City, CA

Q: What is Miriam Etienne's NPI number?

The NPI number for Miriam Etienne is 1336761378. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Q: What is Miriam Etienne'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 Miriam Etienne was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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 May 13, 2020PECOS EnrolledAccepts Medicare Assignment

666 EDGEWATER BLVD # F-101, FOSTER CITY, CA 94404(347) 628-0147 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 31, 2026, Mar 17, 2021, May 13, 2020 (3 updates tracked since 2020).

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About Dr. Miriam Etienne Dnp, Fnp-bc NPPES

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

DR. MIRIAM ETIENNE DNP, FNP-BC (NPI 1336761378) is an individual family provider in Foster City, California, licensed in California (2019055030) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1336761378

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. MIRIAM ETIENNECredential: DNP, FNP-BC

Location Address666 EDGEWATER BLVD # F-101Foster City, CA 94404-2872

Mailing Address666 Edgewater Blvd # F-101Foster City, CA 94404-2872 · (347) 628-0147

Phone(347) 628-0147

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 13, 2020

Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration

NPPES CertifiedAugust 31, 2026

✔ NPI 1336761378 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 · 2019055030

666 EDGEWATER BLVD # F-101, Foster City, CA 94404

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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

Dr. Miriam Etienne Dnp, Fnp-bc 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 ID547631574

PECOS Enrollment IDI20230130000895

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 Reassignments

Medicare enrollment records show Miriam Etienne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Support Medical Group PC

333 mi

General Practice

880 APOLLO ST STE 217
El Segundo, CA 90245

Reassigned Medicare billing, California enrollment
57 clinicians in this Medicare group

NPI 1548188931 (714) 698-4908

Transtreme, LLC

1,504 mi

Family

3135 PROSPECT AVE
Kansas City, MO 64128

Reassigned Medicare billing, California enrollment
15 clinicians in this Medicare group

NPI 1003290453 (816) 209-1237

Nurse Practitioner Group LLC

2,567 mi

Contractor

12380 NW 9TH ST
Plantation, FL 33325

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1780121277 (256) 508-9034

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 8

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

629 services112 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

190 services67 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

109 services33 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

87 services44 patients

Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344

A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.

52 services52 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94404 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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 Miriam Etienne's NPI number?

The NPI number for Miriam Etienne is 1336761378. It was assigned to this individual provider in the NPPES registry on May 13, 2020.

Where is Miriam Etienne located?

Miriam Etienne practices at 666 Edgewater Blvd # F-101, Foster City, CA 94404. The listed phone number is (347) 628-0147.

What is Miriam Etienne's specialty?

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

Is Miriam Etienne enrolled in Medicare?

Yes. Miriam Etienne 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 organizations bill Medicare for Miriam Etienne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Etienne reassigns Medicare benefits to 3 organizations: Geriatric Support Medical Group PC (El Segundo, CA), Transtreme, LLC (Kansas City, MO) and Nurse Practitioner Group LLC (Plantation, FL). Each 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 Miriam Etienne'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 Miriam Etienne was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.