DORENE EBANGHA ETAROCK FNP-C
NPI 1518450352
Nurse Practitioner - Family in Ball Ground, GA

Active since June 06, 2018PECOS EnrolledAccepts Medicare Assignment
8111 BALL GROUND HWY, BALL GROUND, GA 30107(770) 268-4011 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dorene Ebangha Etarock Fnp-c NPPES

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

DORENE EBANGHA ETAROCK FNP-C (NPI 1518450352) is an individual family provider in Ball Ground, Georgia, licensed in Georgia (RN296118) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1518450352
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDORENE EBANGHA ETAROCKCredential: FNP-C
Location Address8111 BALL GROUND HWYBall Ground, GA 30107
Mailing Address3333 Riverwood Pkwy Se Ste 250Atlanta, GA 30339-3304 · (770) 914-0116
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 6, 2018
Last NPPES UpdateAugust 13, 2024
NPPES CertifiedAugust 7, 2024
NPI 1518450352 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 · RN296118
8111 BALL GROUND HWY, Ball Ground, GA 30107

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

Dorene Ebangha Etarock 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 ID1759760051
PECOS Enrollment IDI20220616001294
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 12

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
219 services69 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.
77 services27 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
63 services37 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
51 services50 patients
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.
41 services27 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
26 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30107 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.

Other Providers at the Same Location NPPES 7

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

Family Medicine
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Nurse Practitioner (Family)
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Nurse Practitioner (Family)
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Internal Medicine
8111 BALL GROUND HWY
BALLGROUND, GA 30107
Internal Medicine
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Nurse Practitioner (Family)
8111 BALL GROUND HWY
BALL GROUND, GA 30107
Nurse Practitioner (Family)
8111 BALL GROUND HWY
BALL GROUND, GA 30107

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 Dorene Etarock's NPI number?

The NPI number for Dorene Etarock is 1518450352. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Dorene Etarock located?

Dorene Etarock practices at 8111 Ball Ground Hwy, Ball Ground, GA 30107. The listed phone number is (770) 268-4011.

What is Dorene Etarock's specialty?

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

Is Dorene Etarock enrolled in Medicare?

Yes. Dorene Etarock 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.

When was this NPI record last updated?

The NPPES record for Dorene Etarock was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.