JESSICA ETZKORN (FNP-C) – Family Nurse Practitioner, NPI 1275903981
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for JESSICA ETZKORN (FNP-C)
298 BUCKHEAD AVE NE
UNIT 1412
ATLANTA, GA 303052672
Phone: (708) 623-5625
Type: Mailing
475 PHILIP BLVD
UNIT 100
LAWRENCEVILLE, GA 300468737
Phone: (770) 995-3300
Type: Location
3068 Old Norcross Rd
Duluth, GA 300964914
Phone: (770) 925-7232
Fax: (770) 638-3315
Type: Location
455 Beaver Ruin Rd NW
Lilburn, GA 300473413
Phone: (770) 923-7778
Fax: (770) 806-1383
Type: Location
4580 Nelson Brogdon Blvd
Buford, GA 305183478
Phone: (770) 831-6703
Fax: (770) 831-6705
Type: Location
10600 MEDLOCK BRIDGE RD
DULUTH, GA 300978404
Phone: (770) 995-3300
Type: Mailing
475 PHILIP BLVD STE 300
LAWRENCEVILLE, GA 300468736
Phone: (770) 995-3300
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: 2015-12-10
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 |
|---|---|---|---|---|
| I20151210002245 | I | Nurse Practitioner | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 71 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 80 | 60 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 43 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 33 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 29 | 24 | $0 |
Insurance plans in this area (ZIP 30305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Diagnostic Radiology | GA | |
| Physical Therapist In Private Practice | GA | |
| Internal Medicine | GA | |
| Family Practice | GA | |
| Diagnostic Radiology | TX | |
| Physician Assistant | GA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Internal Medicine | GA |
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