VALERIE K PETTY
NPI 1104096296
Nurse Anesthetist, Certified Registered in Santa Clara, CA
About Valerie K Petty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALERIE K PETTY (NPI 1104096296) is an individual nurse anesthetist, certified registered in Santa Clara, California, licensed in California (RN571707) and active in the NPI registry since March 2008. She is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Valerie K Petty 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.
Medicare Billing Reassignments
3Medicare enrollment records show Valerie Petty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Watsonville, CA 95076
- Reassigned Medicare billing, California enrollment
- 44 clinicians in this Medicare group
San Francisco, CA 94104
- Reassigned Medicare billing, California enrollment
- 94 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95051 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA CLARA, CA 95051
SANTA CLARA, CA 95051
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 Valerie Petty's NPI number?
The NPI number for Valerie Petty is 1104096296. It was assigned to this individual provider in the NPPES registry on March 5, 2008. The provider is also known as Valerie Kp Clark.
Where is Valerie Petty located?
Valerie Petty practices at 710 Lawrence Expy, Santa Clara, CA 95051. The listed phone number is (559) 448-4500.
What is Valerie Petty's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Valerie Petty enrolled in Medicare?
Yes. Valerie Petty 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.
Which organizations bill Medicare for Valerie Petty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Valerie Petty reassigns Medicare benefits to 3 organizations: Permanente Medical Group Inc (Santa Clara, CA), Lifelinc Anesthesia Vi PC (Watsonville, CA) and Mai Nursing Anesthesia PC (San Francisco, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Valerie Petty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Valerie Petty was last updated on January 11, 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.
# Valerie K Petty · NPI 1104096296
Nurse Anesthetist, Certified Registered physician in Santa Clara, California. Individual provider, active in the CMS NPPES registry since March 5, 2008.
## Identity
- **NPI:** 1104096296 (Entity type: Individual)
- **Enumerated:** March 5, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN571707 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 710 LAWRENCE EXPY, Santa Clara, CA 95051-5173
- **Phone:** (559) 448-4500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA); Lifelinc Anesthesia Vi PC (NPI 1487221628, Watsonville, CA); Mai Nursing Anesthesia PC (NPI 1003572769, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** January 11, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1104096296) · Data from the CMS NPPES public registry.