MICHELLE M ETESAMI – Family Nurse Practitioner, NPI 1457781957
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for MICHELLE M ETESAMI
28780 SINGLE OAK DR # DR160
TEMECULA, CA 925903625
Phone:
Type: Mailing
27190 SUN CITY BLVD
MENIFEE, CA 925865505
Phone: (951) 676-4193
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $695.
Total Amount is formed as General ($695) + Research ($0) + Ownership ($0) = $695.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($103).
Total Amount
$695
General + Research + Ownership
Payments
34
Total payment records
General Amount
$695
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $103 |
| GlaxoSmithKline, LLC. | $91 |
| Lilly USA, LLC | $85 |
| PFIZER INC. | $83 |
| Novo Nordisk Inc | $58 |
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: 2014-01-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140107001371 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 304 | 294 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 164 | 151 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 40 | 39 | $0 |
| 81003 | Automated urinalysis test | 33 | 33 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 28 | 28 | $0 |
Insurance plans in this area (ZIP 92590)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Family Practice | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | CA | |
| Family Practice, Sports Medicine | CA | |
| Family Practice | CA | |
| Family Practice, Geriatric Medicine | CA |
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