ERIN PETRUSIC APN, PMHNP
NPI 1124432497
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Q: What is Erin Petrusic's NPI number?

The NPI number for Erin Petrusic is 1124432497. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Q: What is Erin Petrusic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Erin Petrusic was last updated on December 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 16, 2014PECOS EnrolledAccepts Medicare Assignment

1140 N MILWAUKEE AVE, CHICAGO, IL 60642(773) 536-2700(773) 536-2703 Get Directions Write a Review

NPPES record last updated: December 23, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Erin Petrusic Apn, Pmhnp NPPES

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

ERIN PETRUSIC APN, PMHNP (NPI 1124432497) is an individual psychiatric/mental health provider in Chicago, Illinois, licensed in Illinois (277001784) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2013).

NPPES Registry Identity

NPI1124432497

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameERIN PETRUSICCredential: APN, PMHNP

Location Address1140 N MILWAUKEE AVEChicago, IL 60642-4096

Mailing Address2403 W 32nd PlChicago, IL 60608-6269 · (312) 217-4366

Phone(773) 536-2700

Fax(773) 536-2703

Sole ProprietorYes

Medical School CMSRush Medical College Of Rush UniversityGraduated 2013

Enumeration DateJune 16, 2014

Last NPPES UpdateDecember 23, 2023

NPPES CertifiedDecember 23, 2023

✔ NPI 1124432497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 277001784

1140 N MILWAUKEE AVE, Chicago, IL 60642

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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

Erin Petrusic Apn, Pmhnp 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.

PECOS PAC ID8325366867

PECOS Enrollment IDI20150414001434

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.

Medicare Billing Reassignments

Medicare enrollment records show Erin Petrusic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roueen Rafeyan MD Ltd

Same address

Psychiatry

1140 N MILWAUKEE AVE STE 1
Chicago, IL 60642

Reassigned Medicare billing, Illinois enrollment
5 clinicians in this Medicare group

NPI 1508048414 (773) 536-2700

Comprehensive Clinical Services PC

18 mi

Psychiatry

2340 S HIGHLAND AVE, SUITE 300
Lombard, IL 60148

Reassigned Medicare billing, Illinois enrollment
19 clinicians in this Medicare group

NPI 1942484522 (630) 261-1210

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

25 services16 patients

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.

24 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60642 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

Percentage of patients aged 18 years and older with a diagnosis of major depressive disorder (MDD) with a suicide risk assessment completed during the visit in which a new diagnosis or recurrent episode was identified

84%90 patients4/55-star benchmark: 99%

Depression Utilization of the PHQ-9 Tool

The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit

Patients 4MonthsOfEnd: 59% · 32 patients

Patients 4MonthsOfStart: 76% · 42 patients

93%27 patients

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

93%449 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

81%62 patients4/55-star benchmark: 96%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 96% · 112 patients

82%112 patients4/55-star benchmark: 98%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

SARAH BIER CNM

Advanced Practice Midwife

1140 N MILWAUKEE AVE
CHICAGO, IL 60642

Cook County (773) 536-2700

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 Erin Petrusic's NPI number?

The NPI number for Erin Petrusic is 1124432497. It was assigned to this individual provider in the NPPES registry on June 16, 2014.

Where is Erin Petrusic located?

Erin Petrusic practices at 1140 N Milwaukee Ave, Chicago, IL 60642. The listed phone number is (773) 536-2700.

What is Erin Petrusic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Erin Petrusic enrolled in Medicare?

Yes. Erin Petrusic 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 Erin Petrusic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Petrusic reassigns Medicare benefits to 2 organizations: Roueen Rafeyan MD Ltd (Chicago, IL) and Comprehensive Clinical Services PC (Lombard, IL). 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 Erin Petrusic'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 Erin Petrusic was last updated on December 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.