MARIE MYLENE ETIENNE DNP, FNP
NPI 1922610971
Nurse Practitioner - Family in Palm Beach Gardens, FL

Q: What is Marie Etienne's NPI number?

The NPI number for Marie Etienne is 1922610971. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Q: What is Marie Etienne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Marie Etienne was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 20, 2020PECOS EnrolledAccepts Medicare Assignment

9121 N MILITARY TRL STE 111, PALM BEACH GARDENS, FL 33410(561) 626-7604(877) 266-6973 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 25, 2026, Jan 7, 2026, Mar 18, 2025 and 4 more (7 updates tracked since 2020).

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About Marie Mylene Etienne Dnp, Fnp NPPES

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

MARIE MYLENE ETIENNE DNP, FNP (NPI 1922610971) is an individual family provider in Palm Beach Gardens, Florida, licensed in Florida (11008783) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1922610971

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIE MYLENE ETIENNECredential: DNP, FNP

Location Address9121 N MILITARY TRL STE 111Palm Beach Gardens, FL 33410-5985

Mailing Address9121 N Military Trl Ste 111Palm Beach Gardens, FL 33410-5985 · (561) 626-7604 · Fax (877) 266-6973

Phone(561) 626-7604

Fax(877) 266-6973

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 20, 2020

Last NPPES UpdateMarch 25, 20267 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1922610971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11008783

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License APRN11008783 (FL)

9121 N MILITARY TRL STE 111, Palm Beach Gardens, FL 33410

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Secondary Practice Locations 2

Location 12006 Reston CirRoyal Palm Beach, FL 33411-6110 · Phone (561) 929-6581

Location 22054 Vista Pkwy Ste 400West Palm Beach, FL 33411-6742 · Phone (561) 246-4101 · Fax (561) 246-4377

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Marie Mylene Etienne Dnp, Fnp 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 ID6507234424

PECOS Enrollment IDI20221128002155

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33410 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.

Other Providers at the Same Location NPPES 6

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

CONVIVA MEDICAL CENTER MANAGEMENT LLC

Internal Medicine