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ETYANE AYANA
NPI 1972765972
Nurse Practitioner - Family in Lakeville, MN

Active since June 30, 2008PECOS Enrolled
17305 CEDAR AVE S STE 220, LAKEVILLE, MN 55044(952) 465-1959(952) 236-0138 Get Directions Write a Review

NPPES record last updated: January 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Etyane Ayana NPPES

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

ETYANE AYANA (NPI 1972765972) is an individual family provider in Lakeville, Minnesota, licensed in Minnesota (F12220253) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972765972
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameETYANE AYANA
Location Address17305 CEDAR AVE S STE 220Lakeville, MN 55044-3903
Mailing Address20787 Gemini TrlLakeville, MN 55044-2515 · (952) 217-3635 · Fax (952) 236-0138
Phone(952) 465-1959
Fax(952) 236-0138
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 30, 2008
Last NPPES UpdateJanuary 17, 2023
NPPES CertifiedJanuary 17, 2023
✔ NPI 1972765972 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 MN · F12220253
Also ListedRegistered NurseTaxonomy 163W00000X · License R178274-1 (MN)
17305 CEDAR AVE S STE 220, Lakeville, MN 55044
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etyane Ayana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719102854
PECOS Enrollment IDI20260202002471
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 Etyane Ayana reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Doctor Etyane Ayana
4.8 mi
Primary Care
1555 SOUTHCROSS DR W STE 208
Burnsville, MN 55306
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1043182801 (952) 465-1959

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 55044 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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 Etyane Ayana's NPI number?

The NPI number for Etyane Ayana is 1972765972. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Etyane Ayana located?

Etyane Ayana practices at 17305 Cedar Ave S Ste 220, Lakeville, MN 55044. The listed phone number is (952) 465-1959.

What is Etyane Ayana's specialty?

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

Is Etyane Ayana enrolled in Medicare?

Yes. Etyane Ayana is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Etyane Ayana's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Etyane Ayana reassigns Medicare benefits to Doctor Etyane Ayana (Burnsville, 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 Etyane Ayana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Etyane Ayana was last updated on January 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.