MRS. ETI NODEL (NP) – Gerontology Nurse Practitioner, NPI 1225482995

MRS. ETI NODEL (NP) is a healthcare provider. based in Los angeles, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 95001108 (CA). The NPI Number for MRS. ETI NODEL (NP) is 1225482995

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ETI NODEL (NP)
NPI
1225482995
Phone
(310) 788-0074
Address
2080 CENTURY PARK E
Enumeration Date
19 April 2016
Last Update Date
19 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8187743139
Graduation Year
2013 (13 years ago)
PAC ID
2860767423
Group Practice PAC ID
2062321151
Professional Enrollment ID
I20171006001639
Address ID
CA913356445RE18855BLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Loading map...

Provider Addresses for MRS. ETI NODEL (NP)

  • 2080, Century Park East, Century City, Los Angeles, Los Angeles County, California, 90067, United States

    LOS ANGELES, CA 900672001

    Phone: (310) 788-0074

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171006001639INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes10677$0
View full utilization report →

Insurance plans in this area (ZIP 90067)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062321151View full group profile
NameSpecialtyState
Nurse PractitionerCA
-CA
-CA
Internal MedicineCA
-CA
Nurse PractitionerCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What identifier follows MRS. ETI NODEL (NP) across health systems?
The NPI 1225482995 uniquely identifies MRS. ETI NODEL (NP) in U.S. healthcare data.
Is MRS. ETI NODEL (NP) currently accepting referrals based on NPI status?
Registry metadata lists MRS. ETI NODEL (NP) as active.
What services align with MRS. ETI NODEL (NP)'s listing?
MRS. ETI NODEL (NP)'s public classification highlights Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. ETI NODEL (NP) in Los Angeles, California?
For routing, start with Los Angeles, California for MRS. ETI NODEL (NP), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

MRS. RITA RAE HAND (G.N.P.)

Gerontology Nurse Practitioner
362, North Flores Street, Beverly Grove, Los Angeles, Los Angeles County, California, 90048, United States
NPI: 1215929765

MS. ANNIE KANCHANASUWAN (RN, GNP, GCNS-BC)

Gerontology Nurse Practitioner
3731, Revere Avenue, Atwater Village, Los Angeles, Los Angeles County, California, 90039, United States
NPI: 1609832385

Unknown Individual

Gerontology Nurse Practitioner
Wilshire Boulevard, Beverly Hills, Los Angeles County, California, 90048, United States
NPI: 1760433528

MS. JENICE RIA S. GUZMAN (APRN-BC, MSN)

Gerontology Nurse Practitioner
VA Greater Los Angeles Healthcare System, 11301, Wilshire Boulevard, Veterans Administration, Los Angeles County, California, 90073, United States
NPI: 1407808512

MS. PATRIA OYARDO DE LUNA (NP)

Gerontology Nurse Practitioner
VA Greater Los Angeles Healthcare System, 11301, Wilshire Boulevard, Veterans Administration, Los Angeles County, California, 90073, United States
NPI: 1295788727

MS. FELIZA ANGELINE CALUB (NP)

Gerontology Nurse Practitioner
VA Greater Los Angeles Healthcare System, 11301, Wilshire Boulevard, Veterans Administration, Los Angeles County, California, 90073, United States
NPI: 1417903931

KEIKO LILLY MIMURA (MSN, APRN, BC)

Gerontology Nurse Practitioner
Nimitz Avenue, Veterans Administration, Los Angeles County, California, 90073, United States
NPI: 1932142544

VIRGINIA GALAN-BURNS (NP)

Gerontology Nurse Practitioner
Santa Moniica Medical Plaza, 1260, 15th Street, Santa Monica, Los Angeles County, California, 90404, United States
NPI: 1972522753

JEFF ANDRES ESCUADRO (RN, NP)

Gerontology Nurse Practitioner
227, North Dillon Street, Westlake, Los Angeles, Los Angeles County, California, 90026, United States
NPI: 1720197973