PATRICK ETIENNE – Certified Registered Nurse Anesthetist, NPI 1023557469

PATRICK ETIENNE is a healthcare provider. based in Hialeah, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. D185549 (IA). The NPI Number for PATRICK ETIENNE is 1023557469

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK ETIENNE
NPI
1023557469
Phone
(347) 526-6914
Address
651 E 25TH ST
Enumeration Date
17 February 2017
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7186165356
Graduation Year
2017 (9 years ago)
PAC ID
6709163868
Group Practice PAC ID
4688098833
Professional Enrollment ID
I20200316001762
Address ID
NY112357745BR2601XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:9State licenses:2Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for PATRICK ETIENNE

  • Hialeah Hospital, 651, East 25th Street, Hialeah, Miami-Dade County, Florida, 33013, United States

    HIALEAH, FL 330133814

    Phone: (347) 526-6914

    Type: Location

  • 5250, SW 141st Terrace, Miramar, Broward County, Florida, 33027, United States

    MIRAMAR, FL 330275979

    Phone: (347) 526-6914

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-04-25 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$19
View all Open Payments →|Open Payments Risk Radar →

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: 2025-08-20

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
I20170428000119ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20200316001762ICertified Registered Nurse Anesthetist (Crna)NYTBD
I20250730004147ICertified Registered Nurse Anesthetist (Crna)IATBD
I20250820000653ICertified Registered Nurse Anesthetist (Crna)NCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33013)

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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: 4688098833View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX
Emergency MedicineNY
Psychiatry, Geriatric PsychiatryNY
Hospice/Palliative Care, Internal MedicineNY
Diagnostic RadiologyPA
Gastroenterology, Internal MedicineNY
Internal MedicineNY
Emergency MedicineCA
Orthopedic SurgeryNY
Vascular Surgery, General SurgeryNY

Reviews

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Frequently asked questions

Does PATRICK ETIENNE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PATRICK ETIENNE uses 1023557469.
Does the file indicate PATRICK ETIENNE is practicing under active NPI?
Directory data currently reports PATRICK ETIENNE as active.
What taxonomy line describes PATRICK ETIENNE?
For research purposes, treat PATRICK ETIENNE as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect PATRICK ETIENNE on a map?
Expect Hialeah, Florida as a primary anchor for PATRICK ETIENNE unless the record lists multiple sites.
Why does PATRICK ETIENNE have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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