ERTHA JETER NP
NPI 1669798583
Nurse Practitioner - Adult Health in Brooklyn, NY

Q: What is Ertha Jeter's NPI number?

The NPI number for Ertha Jeter is 1669798583. It was assigned to this individual provider in the NPPES registry on April 16, 2010.

Q: What is Ertha Jeter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Ertha Jeter was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 16, 2010PECOS Enrolled

6209 16TH AVE, BROOKLYN, NY 11204(718) 234-0073 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ertha Jeter Np NPPES

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

ERTHA JETER NP (NPI 1669798583) is an individual adult health provider in Brooklyn, New York, licensed in New York (F305339-1) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669798583

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameERTHA JETERCredential: NP

Location Address6209 16TH AVEBrooklyn, NY 11204-2702

Mailing Address540 E 22nd St Apt 1bBrooklyn, NY 11226-7265 · (718) 859-5013

Phone(718) 234-0073

Sole ProprietorNo

Enumeration DateApril 16, 2010

Last NPPES UpdateJune 20, 2013

✔ NPI 1669798583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F305339-1

6209 16TH AVE, Brooklyn, NY 11204

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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)

Ertha Jeter 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 11204 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.

Other Providers at the Same Location NPPES 12

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

MRS. NINA STATMAN LCSW

Social Worker