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JUDELINE ETIENNE NP
NPI 1639870249
Nurse Practitioner in Jamaica, NY

Active since March 13, 2023PECOS Enrolled
8268 164TH ST, JAMAICA, NY 11432(718) 883-3000 Get Directions Write a Review

NPPES record last updated: January 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Judeline Etienne Np NPPES

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

JUDELINE ETIENNE NP (NPI 1639870249) is an individual nurse practitioner in Jamaica, New York, licensed in New York (349836) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639870249
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJUDELINE ETIENNECredential: NP
Location Address8268 164TH STJamaica, NY 11432-1121
Mailing Address8268 164th StJamaica, NY 11432-1121 · (718) 883-3000
Phone(718) 883-3000
Sole ProprietorNo
Enumeration DateMarch 13, 2023
Last NPPES UpdateJanuary 31, 2024
NPPES CertifiedJanuary 31, 2024
✔ NPI 1639870249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 349836
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8268 164TH ST, Jamaica, NY 11432
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judeline Etienne Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11432 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 20

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

MRS. NGA HOANG NGUYEN PHARMACIST
Pharmacist
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3889
SHEILA A KERN PA-C
Physician Assistant (Medical)
8268 164TH ST, ROOM A531
JAMAICA, NY 11432
Queens County (718) 883-4133
WHITNEY WU LCSW
Social Worker
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3573
KANWAL RASHID MD
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4583
MOAZAMA SHAKEEL AHMED
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4583
DR. ANURITA CHATTERJEE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
MS. SUZANNE J FORRESTER-LOWE PA
Physician Assistant
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
DR. GLENNA B RUBIN PSYD
Psychologist (Clinical Child & Adolescent)
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225

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 Judeline Etienne's NPI number?

The NPI number for Judeline Etienne is 1639870249. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Judeline Etienne located?

Judeline Etienne practices at 8268 164th St, Jamaica, NY 11432. The listed phone number is (718) 883-3000.

What is Judeline Etienne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Judeline Etienne enrolled in Medicare?

Yes. Judeline Etienne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judeline Etienne was last updated on January 31, 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.