1. Home
  2. Directory
  3. New Jersey
  4. Sewell
  5. Nurse Practitioner
  6. NPI Profile

JAMIE PETKOVIC APN
NPI 1205425204
Nurse Practitioner - Family in Sewell, NJ

Active since January 13, 2021PECOS EnrolledAccepts Medicare Assignment
354 HURFFVILLE CROSSKEYS RD BLDG 2, SEWELL, NJ 08080(856) 582-0381(844) 542-2273 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jamie Petkovic Apn NPPES

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

JAMIE PETKOVIC APN (NPI 1205425204) is an individual family provider in Sewell, New Jersey, licensed in New York (355594) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205425204
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMIE PETKOVICCredential: APN
Location Address354 HURFFVILLE CROSSKEYS RD BLDG 2Sewell, NJ 08080-3550
Mailing Address354 Hurffville Crosskeys Rd Bldg 2Sewell, NJ 08080-3550 · (856) 582-0381 · Fax (844) 542-2273
Phone(856) 582-0381
Fax(844) 542-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 13, 2021
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1205425204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · 355594✔ Licensed in NJ · 26NJ01094100
Also ListedRegistered NurseTaxonomy 163W00000X · License 969351 (NY)
354 HURFFVILLE CROSSKEYS RD BLDG 2, Sewell, NJ 08080
Open in Google Maps ↗

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

Jamie Petkovic Apn 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 ID8123432267
PECOS Enrollment IDI20250320001174
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

3

Medicare enrollment records show Jamie Petkovic reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trustees Of Columbia University In The City Of New York
97 mi
Anesthesiology
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 clinicians in this Medicare group
NPI 1477068971 (212) 305-9876
Hicksville Family Medical Care, PLLC
103 mi
Family Medicine
135 MINEOLA BLVD STE B
Mineola, NY 11501
  • Reassigned Medicare billing, New York enrollment
  • 64 clinicians in this Medicare group
NPI 1770813792 (917) 410-6990
Statcare Urgent & Walk In Medical Care PLLC
103 mi
Urgent Care
135 MINEOLA BLVD STE A
Mineola, NY 11501
  • Reassigned Medicare billing, New York enrollment
  • 55 clinicians in this Medicare group
NPI 1336426667 (917) 310-3371

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08080 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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

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

DR. LISA CARLENE DIMEDIO D.O.
Internal Medicine
354 HURFFVILLE CROSSKEYS RD BLDG 2
SEWELL, NJ 08080
Gloucester County (844) 542-2273

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 Jamie Petkovic's NPI number?

The NPI number for Jamie Petkovic is 1205425204. It was assigned to this individual provider in the NPPES registry on January 13, 2021.

Where is Jamie Petkovic located?

Jamie Petkovic practices at 354 Hurffville Crosskeys Rd Bldg 2, Sewell, NJ 08080. The listed phone number is (856) 582-0381.

What is Jamie Petkovic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jamie Petkovic enrolled in Medicare?

Yes. Jamie Petkovic 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 Jamie Petkovic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Petkovic reassigns Medicare benefits to 3 organizations: Trustees Of Columbia University In The City Of New York (New York, NY), Hicksville Family Medical Care, PLLC (Mineola, NY) and Statcare Urgent & Walk In Medical Care PLLC (Mineola, NY). 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 Jamie Petkovic'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 Jamie Petkovic was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.