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MS. JEANETTE ETHRIDGE NP
NPI 1689334773
Nurse Practitioner - Psychiatric/Mental Health in Fort Washington, MD

Active since December 30, 2021PECOS Enrolled
7522 GREER DR, FORT WASHINGTON, MD 20744(301) 648-5725 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 25, 2023, Dec 30, 2021 (2 updates tracked since 2021).

About Ms. Jeanette Ethridge Np NPPES

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

MS. JEANETTE ETHRIDGE NP (NPI 1689334773) is an individual psychiatric/mental health provider in Fort Washington, Maryland, licensed in District Of Columbia (NP1006588) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689334773
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JEANETTE ETHRIDGECredential: NP
Location Address7522 GREER DRFort Washington, MD 20744-3319
Mailing Address7522 Greer DrFort Washington, MD 20744-3319 · (301) 648-5725
Phone(301) 648-5725
Sole ProprietorYes
Enumeration DateDecember 30, 2021
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1689334773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in DC · NP1006588
Also ListedRegistered NurseTaxonomy 163W00000X · License RN1006588 (DC)
7522 GREER DR, Fort Washington, MD 20744
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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)

Ms. Jeanette Ethridge 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 Jeanette Ethridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umbrella Therapeutic Services, Inc.
5.7 mi
Community/Behavioral Health
3300 PENNSYLVANIA AVE SE
Washington, DC 20020
  • Reassigned Medicare billing, District of Columbia enrollment
  • 14 clinicians in this Medicare group
NPI 1003324864 (202) 441-7966

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 20744 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Jeanette Ethridge's NPI number?

The NPI number for Jeanette Ethridge is 1689334773. It was assigned to this individual provider in the NPPES registry on December 30, 2021.

Where is Jeanette Ethridge located?

Jeanette Ethridge practices at 7522 Greer Dr, Fort Washington, MD 20744. The listed phone number is (301) 648-5725.

What is Jeanette Ethridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jeanette Ethridge enrolled in Medicare?

Yes. Jeanette Ethridge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeanette Ethridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanette Ethridge reassigns Medicare benefits to Umbrella Therapeutic Services, Inc. (Washington, DC). 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 Jeanette Ethridge'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 Jeanette Ethridge was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.