TIMOTHY TITA ETONDE DNP
NPI 1811787666
Nurse Practitioner - Psychiatric/Mental Health in Fargo, ND
About Timothy Tita Etonde Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY TITA ETONDE DNP (NPI 1811787666) is an individual psychiatric/mental health provider in Fargo, North Dakota, licensed in North Dakota (R48834) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
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
Timothy Tita Etonde 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58104 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.
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 Timothy Etonde's NPI number?
The NPI number for Timothy Etonde is 1811787666. It was assigned to this individual provider in the NPPES registry on May 7, 2025.
Where is Timothy Etonde located?
Timothy Etonde practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-2000.
What is Timothy Etonde's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Timothy Etonde enrolled in Medicare?
Yes. Timothy Etonde 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.
What insurance does Timothy Etonde accept?
Health plans from Blue Cross Blue Shield of North Dakota and HealthPartners list Timothy Etonde 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 Timothy Etonde was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Timothy Tita Etonde, DNP · NPI 1811787666
Psychiatric/Mental Health physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since May 7, 2025.
## Identity
- **NPI:** 1811787666 (Entity type: Individual)
- **Enumerated:** May 7, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R48834 (North Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5225 23RD AVE S, Fargo, ND 58104-7927
- **Phone:** (701) 417-2000
## 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:** Other, class of 2024
## Record status
- **NPPES last updated:** May 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1811787666) · Data from the CMS NPPES public registry.