KASSANDRA PETIT NP
NPI 1083290860
Nurse Practitioner - Women's Health in Philadelphia, PA

Active since March 22, 2021PECOS Enrolled
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139(215) 471-2761 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2022, Mar 22, 2021 (2 updates tracked since 2021).

About Kassandra Petit Np NPPES

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

KASSANDRA PETIT NP (NPI 1083290860) is an individual women's health provider in Philadelphia, Pennsylvania, licensed in New York (421490) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1083290860
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKASSANDRA PETITCredential: NP
Location Address5201 HAVERFORD AVEPhiladelphia, PA 19139-1401
Mailing Address5201 Haverford AvePhiladelphia, PA 19139-1401 · Fax (315) 222-7435
Sole ProprietorNo
Enumeration DateMarch 22, 2021
Last NPPES UpdateApril 29, 20222 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
NPI 1083290860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in NY · 421490
5201 HAVERFORD AVE, Philadelphia, PA 19139

Secondary Practice Location 1

Location 1855 Central AveAlbany, NY 12206-1513 · Phone (518) 434-5678 ext. 104

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kassandra Petit Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19139 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

Family Medicine
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Nurse Practitioner (Family)
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Dental Hygienist
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Family Medicine
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Pediatrics
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Clinic/Center (Federally Qualified Health Center (FQHC))
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Dentist (General Practice)
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139
Dietitian, Registered
5201 HAVERFORD AVE
PHILADELPHIA, PA 19139

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 Kassandra Petit's NPI number?

The NPI number for Kassandra Petit is 1083290860. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Kassandra Petit located?

Kassandra Petit practices at 5201 Haverford Ave, Philadelphia, PA 19139. The listed phone number is (215) 471-2761.

What is Kassandra Petit's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Kassandra Petit enrolled in Medicare?

Yes. Kassandra Petit is registered in the Medicare PECOS enrollment system.

What insurance does Kassandra Petit accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kassandra Petit as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kassandra Petit was last updated on April 29, 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.