Individual provider Active NPI

Pierre U Etienne, MD

  • Hospitalist Physician
  • New Brunswick, NJ
National Provider Identifier
1124468400
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
73999 Issued in AZ
Practice address
1 Robert Wood Johnson PL
Meb 486 Postofficebox19
New Brunswick, NJ 08901-1928
Phone
(732) 235-7742
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4851 WI
Internal Medicine Physician 207R00000X D79632 MD
Hospitalist Physician 208M00000X 4851 WI
Hospitalist Physician 208M00000X 73999 AZ Primary

Addresses

Primary practice location

1 Robert Wood Johnson PL
Meb 486 Postofficebox19
New Brunswick, NJ 08901-1928

Mailing address

1 Robert Wood Johnson PL
Meb 486, P.O. Box 19
New Brunswick, NJ 08901-1928
Phone (732) 235-7742

Other practice location 1

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

Other practice location 2

130 2nd St
Neenah, WI 54956-2883
Phone (920) 735-7645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, LA, WV, GA, WI, OK7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20150702001004 DC Practitioner - HospitalistPractitioner - Internal Medicine 2961714084 Reassigns benefits to 2 organizations
I20150805007610 MD Practitioner - Internal Medicine 2961714084 Reassigns benefits to 4 organizations
I20240605003858 LA Practitioner - Internal Medicine 2961714084 Reassigns benefits to 1 organization
I20241121003594 WV Practitioner - Internal Medicine 2961714084 Reassigns benefits to 2 organizations
I20241212000054 GA Practitioner - Internal Medicine 2961714084 Reassigns benefits to 1 organization
I20241213003005 WI Practitioner - HospitalistPractitioner - Internal Medicine 2961714084 Reassigns benefits to 3 organizations
I20250206000622 OK Practitioner - Internal Medicine 2961714084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Princeton Community Hospital Assn. Inc.Group PAC ID 3678482221, 174 clinicians
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians
THS Physician Partners IncGroup PAC ID 9537316393, 366 clinicians
Shore-Bayy Hospitalists AssociatesGroup PAC ID 3375835390, 25 clinicians

Practice addresses (Care Compare)

122 12TH St
Princeton, WV 24740-2312
Phone (304) 487-7936

2001 Medical Pkwy
Annapolis, MD 21401-3280
Phone (443) 481-1000

4605 Maccorkle Ave SW
South Charleston, WV 25309-1311
Phone (304) 414-4800

7651 Woodland Dr
Easton, MD 21601-8141
Phone (410) 310-6245

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046
  • Thomas Memorial Hospital Hospital, South Charleston, WV, CCN 510029
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D79632MDMDInternal Medicine Physician
4851WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare, Incorporated CurrentSince Feb 5, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Feb 1, 2026 Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Thedacare, Incorporated Family Medicine CurrentSince Feb 5, 2025 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Dec 23, 2025 Accepting new patients
THS Physician Partners Inc Family Medicine CurrentSince Oct 17, 2024 Accepting new patients
Ladd Memorial Hospital CurrentSince Dec 1, 2024 Accepting new patients
Shore-Bayy Hospitalists Associates Hospitalist CurrentSince Aug 21, 2018 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Oct 17, 2024 Accepting new patients
Piedmont Hospitalist Physicians LLC Family Medicine CurrentSince Oct 24, 2024 Accepting new patients
Ladd Memorial Hospital CurrentSince Dec 1, 2024 Accepting new patients
Belle Chasse Physician Services LLC Hospitalist CurrentSince May 1, 2024 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jul 14, 2015 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jul 14, 2015 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Family Medicine CurrentSince Aug 1, 2015 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Family Medicine Current Accepting new patients
Emergency Medicine Associates, PA CurrentSince Dec 23, 2025 Accepting new patients
Metro Physicians LLC Hospitalist CurrentSince May 1, 2025 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Oct 17, 2024 Accepting new patients
Shore Hospitalists Associates P.a. Internal Medicine PastSince Aug 21, 2018 Accepting new patients

Locations (25 of 26)

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

219 S Washington St
Easton, MD 21601

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

L3539
Columbus, OH 43260
Phone (304) 414-4800

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

Interoperability endpoints

  • Direct secure messaging: petienne483517@direct.umm.edu

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 23

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1124468400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROBERT WOOD JOHNSON PL",
            "address_2": "MEB 486, P.O. BOX 19",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011928",
            "telephone_number": "732-235-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERT WOOD JOHNSON PL",
            "address_2": "MEB 486 POSTOFFICEBOX19",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089011928",
            "telephone_number": "732-235-7742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-735-7645",
            "fax_number": "920-735-7618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 2nd St",
            "address_purpose": "LOCATION",
            "city": "Neenah",
            "state": "WI",
            "postal_code": "549562883",
            "country_code": "US",
            "telephone_number": "920-735-7645",
            "fax_number": "920-735-7618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "PIERRE",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "4851",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D79632",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "4851",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "73999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.