MARIA C PETTY NURSE PRACTITIONER
NPI 1114204419
Nurse Practitioner - Primary Care in Willoughby, OH

Q: What is Maria Petty's NPI number?

The NPI number for Maria Petty is 1114204419. It was assigned to this individual provider in the NPPES registry on November 15, 2011.

Q: What is Maria Petty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Maria Petty was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 November 15, 2011PECOS Enrolled

35000 KAISER CT, WILLOUGHBY, OH 44094(440) 269-4600(216) 229-6017 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2021, Nov 2, 2016 (2 updates tracked since 2016).

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About Maria C Petty Nurse Practitioner NPPES

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

MARIA C PETTY NURSE PRACTITIONER (NPI 1114204419) is an individual primary care provider in Willoughby, Ohio, licensed in Ohio (NP020610) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114204419

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameMARIA C PETTYCredential: NURSE PRACTITIONER

Location Address35000 KAISER CTWilloughby, OH 44094-3382

Mailing Address35000 Kaiser CtWilloughby, OH 44094-3382 · (440) 269-4600 · Fax (216) 229-6017

Phone(440) 269-4600

Fax(216) 229-6017

Sole ProprietorNo

Enumeration DateNovember 15, 2011

Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration

NPPES CertifiedJuly 8, 2021

✔ NPI 1114204419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP2300X

License✔ Licensed in OH · NP020610

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN2290435 (MA), 004979 (CT)

35000 KAISER CT, Willoughby, OH 44094

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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)

Maria C Petty Nurse Practitioner 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 44094 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

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 20

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

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