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KRISTINA SHAE PETRUCCI PA-C
NPI 1134740681
Physician Assistant in Providence, RI

Active since May 06, 2020PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-7396 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 15, 2023, May 6, 2020 (2 updates tracked since 2020).

About Kristina Shae Petrucci Pa-c NPPES

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

KRISTINA SHAE PETRUCCI PA-C (NPI 1134740681) is an individual physician assistant in Providence, Rhode Island, licensed in Rhode Island (PA01251) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134740681
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTINA SHAE PETRUCCICredential: PA-C
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779
Phone(401) 444-7396
Sole ProprietorNo
Enumeration DateMay 6, 2020
Last NPPES UpdateMarch 23, 20242 updates tracked since enumeration
NPPES CertifiedMarch 23, 2024
✔ NPI 1134740681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in RI · PA01251
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
593 EDDY ST, Providence, RI 02903
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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)

Kristina Shae Petrucci Pa-c 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 02903 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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.

DR. KEITH-AUSTIN SCARFO D.O.
Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Providence County (401) 444-3777
AILEEN HSUEH
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-8450
RHODE ISLAND HOSPITAL
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Providence County (401) 444-7585
DR. GA HIE NAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-5057
EUGENIE ATALLAH
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-2645
BRIAN CAO MD
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 606-4286
BRET CAULFIELD
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 444-4000
JUNG HO GONG
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Providence County (401) 793-2695

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 Kristina Petrucci's NPI number?

The NPI number for Kristina Petrucci is 1134740681. It was assigned to this individual provider in the NPPES registry on May 6, 2020.

Where is Kristina Petrucci located?

Kristina Petrucci practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-7396.

What is Kristina Petrucci's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristina Petrucci enrolled in Medicare?

Yes. Kristina Petrucci is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristina Petrucci was last updated on March 23, 2024. 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.