DEVIN LEE PETULLA CRNP
NPI 1033599519
Nurse Practitioner - Family in Altoona, PA

Q: What is Devin Petulla's NPI number?

The NPI number for Devin Petulla is 1033599519. It was assigned to this individual provider in the NPPES registry on June 1, 2015. The provider is also known as Devin Burnsworth.

Q: What is Devin Petulla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: Is Devin Petulla enrolled in Medicare?

No. Devin Petulla has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Devin Petulla was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2015Opted out of Medicare · through Apr 1, 2027

222 CHESTNUT AVE, ALTOONA, PA 16601(814) 946-8046(814) 946-3693 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Devin Lee Petulla Crnp NPPES

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

DEVIN LEE PETULLA CRNP (NPI 1033599519) is an individual family provider in Altoona, Pennsylvania, licensed in Pennsylvania (SP015013) and active in the NPI registry since June 2015. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033599519

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDEVIN LEE PETULLACredential: CRNP

Location Address222 CHESTNUT AVEAltoona, PA 16601-4928

Mailing Address222 Chestnut AveAltoona, PA 16601-4928 · (814) 946-8046 · Fax (814) 946-3693

Phone(814) 946-8046

Fax(814) 946-3693

Sole ProprietorNo

Enumeration DateJune 1, 2015

Last NPPES UpdateApril 13, 2016

✔ NPI 1033599519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP015013

222 CHESTNUT AVE, Altoona, PA 16601

Open in Google Maps ↗

Other Names 1

Former Name (1)Devin Burnsworth

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Devin Lee Petulla Crnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear

Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing

12%119 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%2,267 patients5/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

43%1,212 patients2/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

95%1,147 patients4/55-star benchmark: 100%

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older

Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

24%190 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. MARK EDWARD TILYOU M.D.

Legal Medicine

222 CHESTNUT AVE
ALTOONA, PA 16601

Blair County (814) 946-8046

DOCTORS WALK-IN CARE INC.

Family Medicine

222 CHESTNUT AVE
ALTOONA, PA 16601

Blair County (814) 946-8046

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devin Petulla's NPI number?

The NPI number for Devin Petulla is 1033599519. It was assigned to this individual provider in the NPPES registry on June 1, 2015. The provider is also known as Devin Burnsworth.

Where is Devin Petulla located?

Devin Petulla practices at 222 Chestnut Ave, Altoona, PA 16601. The listed phone number is (814) 946-8046.

What is Devin Petulla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Devin Petulla enrolled in Medicare?

No. Devin Petulla has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Devin Petulla was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.