ANDREA IRENE PETTY PMHNP
NPI 1194387886
Nurse Practitioner - Psychiatric/Mental Health in Las Vegas, NV

Q: What is Andrea Petty's NPI number?

The NPI number for Andrea Petty is 1194387886. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Andrea Petty'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 Andrea Petty was last updated on November 2, 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 July 02, 2019PECOS EnrolledAccepts Medicare Assignment

3210 W CHARLESTON BLVD STE 2, LAS VEGAS, NV 89102(702) 444-0768 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2023, Jan 9, 2023, Dec 1, 2022 and 4 more (7 updates tracked since 2019).

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About Andrea Irene Petty Pmhnp NPPES

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

ANDREA IRENE PETTY PMHNP (NPI 1194387886) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (811308) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194387886

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameANDREA IRENE PETTYCredential: PMHNP

Location Address3210 W CHARLESTON BLVD STE 2Las Vegas, NV 89102-0080

Mailing Address3210 W Charleston Blvd Ste 2Las Vegas, NV 89102-0080 · (725) 286-1855 · Fax (725) 286-1877

Phone(702) 444-0768

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 2, 2019

Last NPPES UpdateNovember 2, 20237 updates tracked since enumeration

NPPES CertifiedNovember 2, 2023

✔ NPI 1194387886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0808X

Licenses✔ Licensed in NV · 811308✔ Licensed in CA · 95015570

Also ListedCounselorTaxonomy 101Y00000X · License 811308 (NV)

3210 W CHARLESTON BLVD STE 2, Las Vegas, NV 89102

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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 and accepts Medicare assignment

Andrea Irene Petty 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 ID4385055284

PECOS Enrollment IDI20201125001490

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 5

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

522 services72 patients

Telephone or internet referral service, 30 minutes 99452

A telephone or internet referral service involves a 30-minute session where you can discuss your health concerns with a healthcare professional. They will listen to your symptoms, answer your questions, and guide you to the appropriate specialist or service for further assistance. This service is safe, confidential, and convenient.

345 services78 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

150 services26 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

32 services31 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89102 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

YVONNE VILLALOBOS

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