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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TIMOTHY TITA ETONDE DNP
NPI 1811787666
Nurse Practitioner - Psychiatric/Mental Health in Grand Forks, ND

Active since May 07, 2025PECOS EnrolledAccepts Medicare Assignment
860 S COLUMBIA RD, GRAND FORKS, ND 58201(701) 780-5000 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, May 7, 2025 (2 updates tracked since 2025).

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 Grand Forks, North Dakota, licensed in North Dakota (202345) 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

NPI1811787666
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTIMOTHY TITA ETONDECredential: DNP
Location Address860 S COLUMBIA RDGrand Forks, ND 58201-4028
Mailing AddressPo Box 860939Minneapolis, MN 55486-0939
Phone(701) 780-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 7, 2025
Last NPPES UpdateSeptember 29, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1811787666 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 ND · 202345
860 S COLUMBIA RD, Grand Forks, ND 58201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8123520012
PECOS Enrollment IDI20250909001296
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 Timothy Etonde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Balm Of Gilead Healthcare Clinic LLC
2.8 mi
Psychiatric/Mental Health
210 GATEWAY DR NE STE 1
East Grand Forks, MN 56721
  • Reassigned Medicare billing, Minnesota enrollment
  • 3 clinicians in this Medicare group
NPI 1154022895 (218) 207-2020

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 58201 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAREN LYNN MANGARDICH
Nurse Practitioner (Psychiatric/Mental Health)
860 S COLUMBIA RD
GRAND FORKS, ND 58201
Grand Forks County (701) 780-5000
APRIL WATERS MOTR/L
Occupational Therapist
860 S COLUMBIA RD
GRAND FORKS, ND 58201
Grand Forks County (701) 780-1853
JANA GAIL ZWILLING FNP-C
Nurse Practitioner
860 S COLUMBIA RD
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6697
JOANN J OLSON LICSW
Social Worker (Clinical)
860 S COLUMBIA RD
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6697
RACHEL LYNN DAUKSAVAGE APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
860 S COLUMBIA RD
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6000
DR. KENNETH CHIDI ASOGWA M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
860 S COLUMBIA RD
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6697
MICHELLE TRETTER LCSW
Social Worker (Clinical)
860 S COLUMBIA RD
GRAND FORKS, ND 58201
Grand Forks County (017) 780-6697
CHARLES A SUDA LICSW
Social Worker (Clinical)
860 S COLUMBIA RD
GRAND FORKS, ND 58201
Grand Forks County (701) 780-6697

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 860 S Columbia Rd, Grand Forks, ND 58201. The listed phone number is (701) 780-5000.

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.

Which organization bills Medicare for Timothy Etonde's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Etonde reassigns Medicare benefits to Balm Of Gilead Healthcare Clinic LLC (East Grand Forks, MN). 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 Timothy Etonde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Etonde accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan 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 September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.