IDA K ETAH FNP
NPI 1497045371
Nurse Practitioner - Family in Bronx, NY

Active since April 13, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2960 MICKLE AVE, BRONX, NY 10469(646) 683-1949 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ida K Etah Fnp NPPES

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

IDA K ETAH FNP (NPI 1497045371) is an individual family provider in Bronx, New York, licensed in New York (F336219) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1497045371
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIDA K ETAHCredential: FNP
Location Address2960 MICKLE AVEBronx, NY 10469-3304
Mailing Address2960 Mickle AveBronx, NY 10469-3304 · (646) 683-1949
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 13, 2011
Last NPPES UpdateOctober 22, 2019
NPI 1497045371 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 NY · F336219
2960 MICKLE AVE, Bronx, NY 10469

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

Ida K Etah Fnp 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 ID4183885205
PECOS Enrollment IDI20120418000078
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
33 services14 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph's Medical Center

Acute Care Hospitals · Yonkers, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330006
Location127 South BroadwayYonkers, NY 10701 · Westchester County
Emergency services

St John's Riverside Hospital

Acute Care Hospitals · Yonkers, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330208
Location976 North BroadwayYonkers, NY 10701 · Westchester County
Emergency services Birthing friendly

Harlem Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330240
Location506 Lenox AvenueNew York, NY 10037 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10469 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.98
Improvement Activities40

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 Ida Etah's NPI number?

The NPI number for Ida Etah is 1497045371. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Where is Ida Etah located?

Ida Etah practices at 2960 Mickle Ave, Bronx, NY 10469. The listed phone number is (646) 683-1949.

What is Ida Etah's specialty?

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

Is Ida Etah enrolled in Medicare?

Yes. Ida Etah 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 Ida Etah accept?

Health plans from Providence Health Plan list Ida Etah 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 Ida Etah affiliated with any hospitals?

According to CMS data, Ida Etah is affiliated with St Joseph's Medical Center, St John's Riverside Hospital and Harlem Hospital Center.

When was this NPI record last updated?

The NPPES record for Ida Etah was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.