ANALISA PETTUS PA
NPI 1174658991
Physician Assistant in Bronx, NY
About Analisa Pettus Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANALISA PETTUS PA (NPI 1174658991) is an individual physician assistant in Bronx, New York, licensed in New York (011513-1) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Hyde Park, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Analisa Pettus Pa 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10461 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.
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
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 Analisa Pettus's NPI number?
The NPI number for Analisa Pettus is 1174658991. It was assigned to this individual provider in the NPPES registry on February 22, 2007.
Where is Analisa Pettus located?
Analisa Pettus practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-3060.
What is Analisa Pettus's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Analisa Pettus enrolled in Medicare?
Yes. Analisa Pettus 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.
When was this NPI record last updated?
The NPPES record for Analisa Pettus was last updated on February 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Analisa Pettus, PA · NPI 1174658991
Physician Assistant physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since February 22, 2007.
## Identity
- **NPI:** 1174658991 (Entity type: Individual)
- **Enumerated:** February 22, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 011513-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 PELHAM PKWY S, Bronx, NY 10461-1138
- **Phone:** (718) 918-3060
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** February 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1174658991) · Data from the CMS NPPES public registry.