CANIVORY PETTIWAY NP
NPI 1033846878
Nurse Practitioner - Family in Albany, NY
About Canivory Pettiway Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANIVORY PETTIWAY NP (NPI 1033846878) is an individual family provider in Albany, New York, licensed in New York (349914) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Canivory Pettiway 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Canivory Pettiway's NPI number?
The NPI number for Canivory Pettiway is 1033846878. It was assigned to this individual provider in the NPPES registry on August 2, 2022.
Where is Canivory Pettiway located?
Canivory Pettiway practices at 855 Central Ave, Albany, NY 12206. The listed phone number is (518) 434-5678.
What is Canivory Pettiway's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Canivory Pettiway enrolled in Medicare?
Yes. Canivory Pettiway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Canivory Pettiway was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Canivory Pettiway, NP · NPI 1033846878
Family physician in Albany, New York. Individual provider, active in the CMS NPPES registry since August 2, 2022.
## Identity
- **NPI:** 1033846878 (Entity type: Individual)
- **Enumerated:** August 2, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 349914 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 855 CENTRAL AVE, Albany, NY 12206-1513
- **Phone:** (518) 434-5678
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1033846878) · Data from the CMS NPPES public registry.