DEDE E ECHITEY (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1821474412

DEDE E ECHITEY (FNP) is a healthcare provider. based in San diego, California. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024172750 (VA). The NPI Number for DEDE E ECHITEY (FNP) is 1821474412

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DEDE E ECHITEY (FNP)
NPI
1821474412
Phone
(858) 279-1212
Address
4849 RONSON CT
Enumeration Date
5 August 2015
Last Update Date
25 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5169356858
Graduation Year
2019 (7 years ago)
PAC ID
8426366212
Group Practice PAC ID
4587554928
Professional Enrollment ID
I20220615002151
Address ID
NY118014230HI180XXBROA202
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:10State licenses:3Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for DEDE E ECHITEY (FNP)

  • 4849 RONSON CT

    STE 217

    SAN DIEGO, CA 921111805

    Phone: (858) 279-1212

    Fax: (858) 279-1420

    Type: Mailing

  • 5483 MOORETOWN RD

    WILLIAMSBURG, VA 231882108

    Phone: (757) 941-6400

    Fax: (757) 565-0620

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2026-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20160920002780INurse PractitionerCATBD
I20220615002151INurse PractitionerNYTBD
I20230404000380INurse PractitionerTXTBD
I20260203000803INurse PractitionerDCTBD

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
90792Psychiatric diagnostic evaluation with medical services1313$0
View full utilization report →

Insurance plans in this area (ZIP 92111)

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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: 4587554928View full group profile
NameSpecialtyState
-NY
Nurse PractitionerNY
Mental Health CounselorNY
Clinical Social WorkerNY
Clinical Social WorkerNY
Clinical Social WorkerNY
Nurse PractitionerNY

Reviews

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Frequently asked questions

Is DEDE E ECHITEY (FNP) listed with a National Provider Identifier?
Yes — DEDE E ECHITEY (FNP) has NPI 1821474412 on file in the registry.
Would DEDE E ECHITEY (FNP) appear as active to a payer?
You can treat DEDE E ECHITEY (FNP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DEDE E ECHITEY (FNP)?
DEDE E ECHITEY (FNP)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in California is DEDE E ECHITEY (FNP) registered?
Use San Diego, California as the headline location for DEDE E ECHITEY (FNP) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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