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

MRS. JOSETTE ETIENNE FNP-C
NPI 1396138368
Nurse Practitioner - Family in Villa Rica, GA

Active since March 13, 2015PECOS EnrolledAccepts Medicare Assignment
403 PERMIAN WAY SUITE A, VILLA RICA, GA 30180(770) 771-5235(678) 952-2108 Get Directions Write a Review

NPPES record last updated: December 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 28, 2025, Mar 17, 2018, Feb 28, 2018 and 1 more (4 updates tracked since 2018).

About Mrs. Josette Etienne Fnp-c NPPES

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

MRS. JOSETTE ETIENNE FNP-C (NPI 1396138368) is an individual family provider in Villa Rica, Georgia, licensed in Georgia (RN167551) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Wellstar Douglas Medical Center, and maintains a secondary practice location in Villa Rica.

NPPES Registry Identity

NPI1396138368
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JOSETTE ETIENNECredential: FNP-C
Location Address403 PERMIAN WAY SUITE AVilla Rica, GA 30180
Mailing Address403 Permian Way Suite AVilla Rica, GA 30180 · (770) 771-5235 · Fax (678) 952-2108
Phone(770) 771-5235
Fax(678) 952-2108
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 13, 2015
Last NPPES UpdateDecember 28, 20254 updates tracked since enumeration
NPPES CertifiedDecember 28, 2025
✔ NPI 1396138368 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
Licenses✔ Licensed in GA · RN167551✔ Licensed in GA · F0315251
403 PERMIAN WAY SUITE A, Villa Rica, GA 30180
Open in Google Maps ↗

Secondary Practice Location 1

Location 1403 Permian Way Ste AVilla Rica, GA 30180-3226 · Phone (770) 771-5235 · Fax (678) 952-2108

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Mrs. Josette Etienne 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 ID8527348929
PECOS Enrollment IDI20161130001770
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

2

Medicare enrollment records show Josette Etienne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chrisyana Gedmyr Medcare LLC
Same address
Family
403 PERMIAN WAY STE A
Villa Rica, GA 30180
  • Reassigned Medicare billing, Georgia enrollment
NPI 1619478013 (770) 771-5235
Signify Health Medical Associates, PLLC
693 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Georgia enrollment
  • 488 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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 10

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
168 services45 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
131 services15 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
89 services21 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
83 services17 patients
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.
76 services36 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.
49 services33 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%394 patients5/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
55%40 patients3/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Josette Etienne's NPI number?

The NPI number for Josette Etienne is 1396138368. It was assigned to this individual provider in the NPPES registry on March 13, 2015.

Where is Josette Etienne located?

Josette Etienne practices at 403 Permian Way Suite A, Villa Rica, GA 30180. The listed phone number is (770) 771-5235.

What is Josette Etienne's specialty?

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

Is Josette Etienne enrolled in Medicare?

Yes. Josette 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 Josette Etienne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josette Etienne reassigns Medicare benefits to 2 organizations: Chrisyana Gedmyr Medcare LLC (Villa Rica, GA) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Josette Etienne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josette Etienne 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 Josette 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 Josette Etienne affiliated with any hospitals?

According to CMS data, Josette Etienne is affiliated with Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Josette Etienne was last updated on December 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.