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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12054 Vista Pkwy Ste 400West Palm Beach, FL 33411-6742 · Phone (561) 246-4101 · Fax (561) 246-4377
Location 22006 Reston CirRoyal Palm Beach, FL 33411-6110 · Phone (561) 929-6581

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Marie Etienne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Conviva Medical Center Management LLC
72 mi
Internal Medicine
6101 BLUE LAGOON DR STE 200
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 535 clinicians in this Medicare group
NPI 1649324278 (305) 500-2000
Pophealthcare, LLC
252 mi
Nurse Practitioner
10739 DEERWOOD PARK BLVD STE 200
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 96 clinicians in this Medicare group
NPI 1164943957 (615) 721-7024
Infinite Medical PC
1,141 mi
Family Medicine
7 CREEK LN
Bristol, RI 02809
  • Reassigned Medicare billing, Florida enrollment
  • 117 clinicians in this Medicare group
NPI 1407483175 (718) 964-6161

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 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
9121 N MILITARY TRL STE 111
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 626-7604
KATHLEEN J LAFFERTY ARNP
Nurse Practitioner (Family)
9121 N MILITARY TRL STE 111
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 626-7604
TINA ANN BRADY AGPCNP-C
Nurse Practitioner (Adult Health)
9121 N MILITARY TRL STE 111
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 626-7604
YERITZA ROJAS APRN
Nurse Practitioner (Primary Care)
9121 N MILITARY TRL STE 111
PALM BEACH GARDENS, FL 33410
Palm Beach County (305) 500-2000
SAEED FARAHMANDFAR MD
Internal Medicine
9121 N MILITARY TRL STE 111
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 626-7604
KESANN KINA DORMAND
Nurse Practitioner (Family)
9121 N MILITARY TRL STE 111
PALM BEACH GARDENS, FL 33410
Palm Beach County (561) 626-7604

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 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.

Where is Marie Etienne located?

Marie Etienne practices at 9121 N Military Trl Ste 111, Palm Beach Gardens, FL 33410. The listed phone number is (561) 626-7604.

What is Marie Etienne's specialty?

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

Is Marie Etienne enrolled in Medicare?

Yes. Marie Etienne 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 Marie Etienne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Etienne reassigns Medicare benefits to 3 organizations: Conviva Medical Center Management LLC (Miami, FL), Pophealthcare, LLC (Jacksonville, FL) and Infinite Medical PC (Bristol, RI). 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 Marie Etienne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie Etienne accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Marie Etienne 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 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 7 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.