AMBRIA J PETTY NP
NPI 1164008967
Nurse Practitioner - Family in Independence, MO

Active since March 22, 2021PECOS EnrolledAccepts Medicare Assignment
19001 E 48TH ST S, INDEPENDENCE, MO 64055(816) 251-5100(816) 795-0144 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 2, 2021, Mar 22, 2021 (2 updates tracked since 2021).

About Ambria J Petty Np NPPES

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

AMBRIA J PETTY NP (NPI 1164008967) is an individual family provider in Independence, Missouri, licensed in Kansas (53-79703-032) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164008967
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMBRIA J PETTYCredential: NP
Location Address19001 E 48TH ST SIndependence, MO 64055-6964
Mailing Address22742 Midland DrShawnee, KS 66226-3553 · (913) 441-2293
Fax(816) 795-0144
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 22, 2021
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
NPI 1164008967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in KS · 53-79703-032 Licensed in MO · 2020032346
19001 E 48TH ST S, Independence, MO 64055

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 and accepts Medicare assignment

Ambria J Petty Np 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 ID6800204686
PECOS Enrollment IDI20210415001222
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
302 services32 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
287 services30 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
273 services29 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
91 services21 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64055 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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 12

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

Urology
19001 E 48TH ST S
INDEPENDENCE, MO 64055
Urology
19001 E 48TH ST S
INDEPENDENCE, MO 64055
Urology
19001 E 48TH ST S
INDEPENDENCE, MO 64055
Urology
19001 E 48TH ST S
INDEPENDENCE, MO 64055
Urology
19001 E 48TH ST S
INDEPENDENCE, MO 64055
Urology
19001 E 48TH ST S
INDEPENDENCE, MO 64055
Urology
19001 E 48TH ST S
INDEPENDENCE, MO 64055
Urology
19001 E 48TH ST S
INDEPENDENCE, MO 64055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164008967, enumerated as an "individual" on March 22, 2021.

The provider is located at 19001 E 48TH ST S INDEPENDENCE, MO 64055 and the phone number is (816) 251-5100.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.