MS. KAREN ETTIENNE FNP
NPI 1710108006
Nurse Practitioner - Family in New York, NY
About Ms. Karen Ettienne Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KAREN ETTIENNE FNP (NPI 1710108006) is an individual family provider in New York, New York, licensed in New York (334599) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Karen Ettienne Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Karen Ettienne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10041
- Reassigned Medicare billing, New York enrollment
- 79 clinicians in this Medicare group
Jericho, NY 11753
- Reassigned Medicare billing, New York enrollment
- 413 clinicians in this Medicare group
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 10119 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10119
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 Karen Ettienne's NPI number?
The NPI number for Karen Ettienne is 1710108006. It was assigned to this individual provider in the NPPES registry on May 2, 2007.
Where is Karen Ettienne located?
Karen Ettienne practices at 1 Penn Plz, New York, NY 10119. The listed phone number is (612) 708-9969.
What is Karen Ettienne's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Karen Ettienne enrolled in Medicare?
Yes. Karen Ettienne is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Karen Ettienne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Ettienne reassigns Medicare benefits to 2 organizations: Mjhs Medical Associates (New York, NY) and Optum Urgent Care, PLLC (Jericho, NY). Each 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 Karen Ettienne'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 Karen Ettienne was last updated on March 7, 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.
# Ms. Karen Ettienne, FNP · NPI 1710108006
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 2, 2007.
## Identity
- **NPI:** 1710108006 (Entity type: Individual)
- **Enumerated:** May 2, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 334599 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 PENN PLZ, New York, NY 10119-4303
- **Phone:** (612) 708-9969
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mjhs Medical Associates (NPI 1013208602, New York, NY); Optum Urgent Care, PLLC (NPI 1285975797, Jericho, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other F33459901 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1710108006) · Data from the CMS NPPES public registry.