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DOLTAINE ETIENNE
NPI 1730973397
Nurse Practitioner - Psychiatric/Mental Health in Coral Springs, FL

Active since April 08, 2025PECOS Enrolled
1204 NW 89TH DR, CORAL SPRINGS, FL 33071(954) 305-5007 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Doltaine Etienne NPPES

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

DOLTAINE ETIENNE (NPI 1730973397) is an individual psychiatric/mental health provider in Coral Springs, Florida, licensed in Florida (APRN11038707) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730973397
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDOLTAINE ETIENNE
Location Address1204 NW 89TH DRCoral Springs, FL 33071-6605
Mailing Address1204 Nw 89th DrCoral Springs, FL 33071-6605 · (954) 305-5007
Phone(954) 305-5007
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1730973397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11038707
1204 NW 89TH DR, Coral Springs, FL 33071
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8022578764
PECOS Enrollment IDI20260902001014
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 Doltaine Etienne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Domilien Psychiatry And Wellness, LLC
3.1 mi
Psychiatric/Mental Health
12347 NW 25TH ST
Coral Springs, FL 33065
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1205799889 (786) 440-2052

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 33071 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 Doltaine Etienne's NPI number?

The NPI number for Doltaine Etienne is 1730973397. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Doltaine Etienne located?

Doltaine Etienne practices at 1204 NW 89th Dr, Coral Springs, FL 33071. The listed phone number is (954) 305-5007.

What is Doltaine Etienne's specialty?

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

Is Doltaine Etienne enrolled in Medicare?

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

Which organization bills Medicare for Doltaine Etienne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Doltaine Etienne reassigns Medicare benefits to Domilien Psychiatry And Wellness, LLC (Coral Springs, FL). 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 Doltaine Etienne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Doltaine Etienne accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Doltaine Etienne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Doltaine Etienne was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.