MARANDA BROOKE ETHEREDGE AGACNP-BC
NPI 1871470682
Nurse Practitioner in Dallas, TX
About Maranda Brooke Etheredge Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARANDA BROOKE ETHEREDGE AGACNP-BC (NPI 1871470682) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (1212740) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Maranda Brooke Etheredge Agacnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Maranda Etheredge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75204
- Reassigned Medicare billing, Texas enrollment
- 124 clinicians in this Medicare group
Dallas, TX 75204
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Urgent Surgery Associates PA
- 120 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor University Medical Center
Acute Care Hospitals · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75204 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.
DALLAS, TX 75204
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 Maranda Etheredge's NPI number?
The NPI number for Maranda Etheredge is 1871470682. It was assigned to this individual provider in the NPPES registry on August 21, 2025.
Where is Maranda Etheredge located?
Maranda Etheredge practices at 2710 Swiss Ave, Dallas, TX 75204. The listed phone number is (214) 821-1599.
What is Maranda Etheredge's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Maranda Etheredge enrolled in Medicare?
Yes. Maranda Etheredge 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 organizations bill Medicare for Maranda Etheredge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maranda Etheredge reassigns Medicare benefits to 2 organizations: North Texas Critical Care PA (Dallas, TX) and Urgent Surgery Associates, P.A. (Dallas, TX). 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 Maranda Etheredge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maranda Etheredge accept?
Health plans from Blue Cross and Blue Shield of Texas list Maranda Etheredge 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.
Is Maranda Etheredge affiliated with any hospitals?
According to CMS data, Maranda Etheredge is affiliated with Baylor University Medical Center.
When was this NPI record last updated?
The NPPES record for Maranda Etheredge was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Maranda Brooke Etheredge, AGACNP-BC · NPI 1871470682
Nurse Practitioner physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since August 21, 2025.
## Identity
- **NPI:** 1871470682 (Entity type: Individual)
- **Enumerated:** August 21, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1212740 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2710 SWISS AVE, Dallas, TX 75204-5900
- **Phone:** (214) 821-1599
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): North Texas Critical Care PA (NPI 1265863542, Dallas, TX); Urgent Surgery Associates, P.A. (NPI 1326077082, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871470682) · Data from the CMS NPPES public registry.