1. Home
  2. Directory
  3. Georgia
  4. Grayson
  5. Nurse Practitioner
  6. NPI Profile

DR. MIRIAM ETIENNE DNP, FNP-BC
NPI 1336761378
Nurse Practitioner - Family in Grayson, GA

Active since May 13, 2020PECOS Enrolled
1021 REDDY FARM RD, GRAYSON, GA 30017(347) 628-0147 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2021, May 13, 2020 (2 updates tracked since 2020).

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 Grayson, Georgia, licensed in Georgia (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 Address1021 REDDY FARM RDGrayson, GA 30017-1754
Mailing Address1021 Reddy Farm RdGrayson, GA 30017-1754 · (347) 628-0147
Phone(347) 628-0147
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 13, 2020
Last NPPES UpdateMarch 17, 20212 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ 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 GA · 2019055030
1021 REDDY FARM RD, Grayson, GA 30017
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Miriam Etienne Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 30017 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.

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 1021 Reddy Farm Rd, Grayson, GA 30017. 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 enrollment system.

When was this NPI record last updated?

The NPPES record for Miriam Etienne was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.