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

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: October 18, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ertha Jeter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
1,369 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
6209 16TH AVE
BROOKLYN, NY 11204
Kings County (718) 234-0073
DR. LUDMILA SHKLYAREVSKY
Psychiatry & Neurology (Psychiatry)
6209 16TH AVE
BROOKLYN, NY 11204
Kings County (718) 234-0073
GHC PHARMACY INC.
Pharmacy (Community/Retail Pharmacy)
6209 16TH AVE
BROOKLYN, NY 11204
Kings County (917) 292-1550
NICOLE DANIELLE AJENISHE LCSW
Social Worker (Clinical)
6209 16TH AVE
BROOKLYN, NY 11204
Kings County (718) 234-0073
ICL MEDICAID SERVICE COORDINATION (MSC)
Day Training, Developmentally Disabled Services
6209 16TH AVE
BROOKLYN, NY 11204
Kings County (718) 234-0073
HEALTHCARECHOICES NY, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
6209 16TH AVE
BROOKLYN, NY 11204
Kings County (718) 234-0073
BARBARA H AYERS M.D
Podiatrist
6209 16TH AVE
BROOKLYN, NY 11204
Kings County (718) 234-0073
HEALTH CARE CHOICES NY INC
Clinic/Center (Federally Qualified Health Center (FQHC))
6209 16TH AVE
BROOKLYN, NY 11204
Kings County (718) 234-0073

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 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.

Where is Ertha Jeter located?

Ertha Jeter practices at 6209 16th Ave, Brooklyn, NY 11204. The listed phone number is (718) 234-0073.

What is Ertha Jeter's specialty?

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

Is Ertha Jeter enrolled in Medicare?

Yes. Ertha Jeter is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ertha Jeter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ertha Jeter reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ertha Jeter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.