Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Gregory Etienne, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1669180915

Gregory Etienne, PHYSICIANASSISTANT is a Physician Assistant in Sierra Vista, Arizona. Qualified in 2016, 10 years ago. Practices with Keyamed, Inc a P C, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona and Puerto Rico.

Years since qualifying
10
Licensed in
AZ, PR
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

126 S Coronado Dr Ste B
Sierra Vista, AZ 85635-6300
Phone: (786) 618-8554
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10192 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 1447 (PR)

Record details

NPI number1669180915
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedNovember 7, 2022
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Keyamed, Inc A P C — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients125
Services billed 244 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Copper Queen Community Hospital Hospital · Bisbee, AZ

Colleagues at Keyamed, Inc a P C

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Sierra Vista