DR. PIERRE U ETIENNE (MD) – Hospitalist Physician, NPI 1124468400

DR. PIERRE U ETIENNE (MD) is a healthcare provider. based in Neenah, Wisconsin. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4851 (WI). The NPI Number for DR. PIERRE U ETIENNE (MD) is 1124468400

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. PIERRE U ETIENNE (MD)
NPI
1124468400
Phone
(920) 735-7645
Address
130 2nd St
Enumeration Date
1 July 2013
Last Update Date
13 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4103106245
Graduation Year
2012 (14 years ago)
PAC ID
2961714084
Group Practice PAC ID
3375835390
Professional Enrollment ID
I20150805007610
Address ID
MD216018141EA7651XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:12State licenses:3Digital endpointsOther names

2,953 INTERNAL MEDICINE in WI

Provider Addresses for DR. PIERRE U ETIENNE (MD)

  • 130 2nd St

    Neenah, WI 549562883

    Phone: (920) 735-7645

    Fax: (920) 735-7618

    Type: Location

  • 1 ROBERT WOOD JOHNSON PL

    MEB 486, P.O. BOX 19

    NEW BRUNSWICK, NJ 089011928

    Phone: (732) 235-7742

    Type: Mailing

  • 1818 N Meade St

    Appleton, WI 549113454

    Phone: (920) 735-7645

    Fax: (920) 735-7618

    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: 2025-02-06

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

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
I20150702001004IHospitalistDCTBD
I20150805007610IInternal MedicineMDTBD
I20240605003858IInternal MedicineLATBD
I20241121003594IInternal MedicineWVTBD
I20241212000054IInternal MedicineGATBD
I20241213003005IHospitalistWITBD
I20250206000622IInternal MedicineOKTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes285279$0
View full utilization report →

Insurance plans in this area (ZIP 54956)

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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: 3375835390View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMD
Internal MedicineCT
Internal Medicine, Critical Care (Intensivists)MD
Internal MedicineNY
Internal MedicineMD
-NY
Hospitalist, Internal MedicineNJ
Nurse PractitionerMD
Critical Care (Intensivists), Hospitalist, Internal MedicineTX
Hospitalist, Nephrology, Internal MedicineIL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. PIERRE U ETIENNE (MD)'s NPI?
Yes. DR. PIERRE U ETIENNE (MD) is listed with NPI 1124468400 in the public NPI dataset.
Can I rely on DR. PIERRE U ETIENNE (MD) being an active provider?
As of the registry snapshot, DR. PIERRE U ETIENNE (MD) is marked active.
What healthcare role does DR. PIERRE U ETIENNE (MD) hold?
Scheduling teams often label DR. PIERRE U ETIENNE (MD) under Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PIERRE U ETIENNE (MD) on a map?
Expect Neenah, Wisconsin as a primary anchor for DR. PIERRE U ETIENNE (MD) unless the record lists multiple sites.
Why does DR. PIERRE U ETIENNE (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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