CHARMAINE GAIL ETIENNE – Family Nurse Practitioner, NPI 1114461902
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for CHARMAINE GAIL ETIENNE
6700, North Andrews Avenue, Fort Lauderdale, Broward County, Florida, 33309, United States
FORT LAUDERDALE, FL 333092204
Phone: (954) 714-6346
Fax: (186) 688-8872
Type: Location
265, Northwest 80th Avenue, Margate, Broward County, Florida, 33063, United States
MARGATE, FL 330634735
Phone: (954) 290-8752
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $138.
Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: ABBVIE INC. ($138).
Total Amount
$138
General + Research + Ownership
Payments
6
Total payment records
General Amount
$138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $138 |
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: 2020-09-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180925000213 | I | Nurse Practitioner | TX | TBD |
| I20200929000490 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 27 | 27 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 25 | 25 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 17 | 17 | $0 |
Insurance plans in this area (ZIP 33309)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Nurse Practitioner | LA | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | HI | |
| - | FL | |
| - | FL | |
| - | FL |
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