Mina R. Etedali, RN
NPI 1679270417ActiveIndividual· Family Medicine· Danvers, MA
Family Medicine (RN) with Beth Israel Lahey Health Primary Care, Inc, practicing in Danvers, Massachusetts. Enrolled in Medicare as practitioner - nurse practitioner. Lists Northeast Hospital Corporation as a hospital affiliation.
Overview
| NPI | 1679270417 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RN |
| Sole proprietor | No |
| NPI issued | Feb 13, 2023 |
| Last updated in NPPES | Apr 22, 2026 |
| Certified by provider | Apr 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | RN2356171 | MA |
| Nurse Practitioner, Family | 363LF0000X | RN2356171 | MA |
| Registered Nurse, Medical-Surgical | 163WM0705X | 2356171 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Beth Israel Lahey Health Primary Care, IncSouth Hamilton, MA · 353 clinicians
Hospital affiliation
- Northeast Hospital CorporationBeverly, MA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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