ETSEGENET G. ENDALE DNP
NPI 1780380105
Nurse Practitioner - Family in Marietta, GA
About Etsegenet G. Endale Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETSEGENET G. ENDALE DNP (NPI 1780380105) is an individual family provider in Marietta, Georgia, licensed in Georgia (F12220213) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Mercer University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Etsegenet G. Endale Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30068 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30068
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 Etsegenet Endale's NPI number?
The NPI number for Etsegenet Endale is 1780380105. It was assigned to this individual provider in the NPPES registry on February 7, 2023.
Where is Etsegenet Endale located?
Etsegenet Endale practices at 687 Johnson Ferry Rd, Marietta, GA 30068. The listed phone number is (404) 200-8319.
What is Etsegenet Endale's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Etsegenet Endale enrolled in Medicare?
Yes. Etsegenet Endale is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Etsegenet Endale was last updated on February 23, 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.
# Etsegenet G. Endale, DNP · NPI 1780380105
Family physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since February 7, 2023.
## Identity
- **NPI:** 1780380105 (Entity type: Individual)
- **Enumerated:** February 7, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F12220213 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 687 JOHNSON FERRY RD, Marietta, GA 30068-4628
- **Phone:** (404) 200-8319
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Mercer University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** February 23, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780380105) · Data from the CMS NPPES public registry.