DR. LISA DANITA ETTIENNE DNP
NPI 1568036630
Nurse Practitioner - Family in Milwaukee, WI
About Dr. Lisa Danita Ettienne Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISA DANITA ETTIENNE DNP (NPI 1568036630) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (F04210251) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 (PECOS)
Dr. Lisa Danita Ettienne Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILWAUKEE, WI 53216
MILWAUKEE, WI 53216
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 Lisa Ettienne's NPI number?
The NPI number for Lisa Ettienne is 1568036630. It was assigned to this individual provider in the NPPES registry on May 13, 2021. The provider is also known as Lisa Danita Payne.
Where is Lisa Ettienne located?
Lisa Ettienne practices at 4375 N 53rd St, Milwaukee, WI 53216. The listed phone number is (414) 462-8350.
What is Lisa Ettienne's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Ettienne enrolled in Medicare?
Yes. Lisa Ettienne is registered in the Medicare PECOS enrollment system.
What insurance does Lisa Ettienne accept?
Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Lisa Ettienne 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.
When was this NPI record last updated?
The NPPES record for Lisa Ettienne was last updated on May 13, 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.
# Dr. Lisa Danita Ettienne, DNP · NPI 1568036630
Family physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since May 13, 2021.
## Identity
- **NPI:** 1568036630 (Entity type: Individual)
- **Enumerated:** May 13, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F04210251 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 4375 N 53RD ST, Milwaukee, WI 53216-1356
- **Phone:** (414) 462-8350
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1568036630) · Data from the CMS NPPES public registry.