ELIZABETH A PETTEY NP
NPI 1013611425
Nurse Practitioner in Johnson City, TN

Q: What is Elizabeth Pettey's NPI number?

The NPI number for Elizabeth Pettey is 1013611425. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Q: What is Elizabeth Pettey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Pettey was last updated on May 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2023PECOS EnrolledAccepts Medicare Assignment

301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604(423) 794-5520(423) 282-6940 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 8, 2023, Mar 29, 2023 (2 updates tracked since 2023).

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About Elizabeth A Pettey Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH A PETTEY NP (NPI 1013611425) is an individual nurse practitioner in Johnson City, Tennessee, licensed in Tennessee (33931) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and maintains a secondary practice location in Jonesville.

NPPES Registry Identity

NPI1013611425

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameELIZABETH A PETTEYCredential: NP

Location Address301 MED TECH PKWY STE 240Johnson City, TN 37604-2641

Mailing AddressPo Box 3889Johnson City, TN 37602-3889 · (423) 794-2457

Phone(423) 794-5520

Fax(423) 282-6940

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMarch 29, 2023

Last NPPES UpdateMay 8, 20232 updates tracked since enumeration

NPPES CertifiedMay 8, 2023

✔ NPI 1013611425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 33931

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0024185836 (VA)

301 MED TECH PKWY STE 240, Johnson City, TN 37604

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Secondary Practice Location 1

Location 11601 Ridgeview RdJonesville, VA 24263-7813 · Phone (276) 832-1015

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth A Pettey Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739546581

PECOS Enrollment IDI20230609000135

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

77 services72 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440176

Location2000 Brookside DrKingsport, TN 37660 · Sullivan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEREMY NATHAN ELLIOTT DO

Family Medicine