JACQUELYN MARIE ETIENNE APNP
NPI 1346086626
Nurse Practitioner - Family in Green Bay, WI

Active since July 05, 2024PECOS EnrolledAccepts Medicare Assignment
725 S WEBSTER AVE STE 201, GREEN BAY, WI 54301(920) 430-7100(920) 430-7114 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquelyn Marie Etienne Apnp NPPES

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

JACQUELYN MARIE ETIENNE APNP (NPI 1346086626) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (15553-33) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1346086626
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELYN MARIE ETIENNECredential: APNP
Location Address725 S WEBSTER AVE STE 201Green Bay, WI 54301-3500
Mailing AddressPo Box 22487Green Bay, WI 54305-2487
Fax(920) 430-7114
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 5, 2024
NPPES CertifiedJuly 5, 2024
NPI 1346086626 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 WI · 15553-33
725 S WEBSTER AVE STE 201, Green Bay, WI 54301

Other Names 1

Former Name (1)Jacquelyn Marie Dequaine

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacquelyn Marie Etienne Apnp 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 ID2163962630
PECOS Enrollment IDI20240911000824, I20240930001661
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 6

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

Psychiatry & Neurology (Neurology)
725 S WEBSTER AVE STE 201
GREEN BAY, WI 54301
Nurse Practitioner (Family)
725 S WEBSTER AVE STE 201
GREEN BAY, WI 54301
Psychiatry & Neurology (Neurology)
725 S WEBSTER AVE STE 201
GREEN BAY, WI 54301
Nurse Practitioner (Family)
725 S WEBSTER AVE STE 201
GREEN BAY, WI 54301
Nurse Practitioner (Family)
725 S WEBSTER AVE STE 201
GREEN BAY, WI 54301
Nurse Practitioner (Family)
725 S WEBSTER AVE STE 201
GREEN BAY, WI 54301

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 Jacquelyn Etienne's NPI number?

The NPI number for Jacquelyn Etienne is 1346086626. It was assigned to this individual provider in the NPPES registry on July 5, 2024. The provider is also known as Jacquelyn Marie Dequaine.

Where is Jacquelyn Etienne located?

Jacquelyn Etienne practices at 725 S Webster Ave Ste 201, Green Bay, WI 54301. The listed phone number is (920) 430-7100.

What is Jacquelyn Etienne's specialty?

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

Is Jacquelyn Etienne enrolled in Medicare?

Yes. Jacquelyn 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.

What insurance does Jacquelyn Etienne accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Jacquelyn Etienne 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.

Is Jacquelyn Etienne affiliated with any hospitals?

According to CMS data, Jacquelyn Etienne is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacquelyn Etienne was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.