MRS. LINDA ANN PETTIT CLINICAL NURSE SPECI
NPI 1063593523
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Centerville, OH

Q: What is Linda Pettit's NPI number?

The NPI number for Linda Pettit is 1063593523. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Linda Pettit's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

Q: When was this NPI record last updated?

The NPPES record for Linda Pettit was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 18, 2006PECOS Enrolled

180 E SPRING VALLEY RD, B, CENTERVILLE, OH 45458(937) 291-1351(937) 291-1719 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Linda Ann Pettit Clinical Nurse Speci NPPES

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

MRS. LINDA ANN PETTIT CLINICAL NURSE SPECI (NPI 1063593523) is an individual psychiatric/mental health, adult provider in Centerville, Ohio, licensed in Ohio (NS03049) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063593523

Entity TypeIndividualFemale

Primary Taxonomy364SP0809X

Provider Legal NameMRS. LINDA ANN PETTITCredential: CLINICAL NURSE SPECI

Location Address180 E SPRING VALLEY RD, BCenterville, OH 45458-3803

Mailing Address180 E Spring Valley Rd, Ste BCenterville, OH 45458-3803 · (937) 291-1351 · Fax (937) 291-1719

Phone(937) 291-1351

Fax(937) 291-1719

Sole ProprietorNo

Enumeration DateOctober 18, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1063593523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364SP0809X

License✔ Licensed in OH · NS03049

180 E SPRING VALLEY RD, Centerville, OH 45458

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Linda Ann Pettit Clinical Nurse Speci is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

29 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

21 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45458 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 6

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

SOUTH SUBURBAN MENTAL HEALTH GROUP

Social Worker (Clinical)