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MARY PETTIT RN
NPI 1265257661
Registered Nurse - Addiction (Substance Use Disorder) in Kenosha, WI

Active since November 20, 2024
3825 39TH AVE STE 120, KENOSHA, WI 53144(262) 946-5752(262) 946-5765 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Pettit Rn NPPES

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

MARY PETTIT RN (NPI 1265257661) is an individual addiction (substance use disorder) provider in Kenosha, Wisconsin, licensed in Wisconsin (153251-30) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1265257661
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameMARY PETTITCredential: RN
Location Address3825 39TH AVE STE 120Kenosha, WI 53144-2043
Mailing Address3825 39th Ave Ste 120Kenosha, WI 53144-2043 · (262) 946-5752 · Fax (262) 946-5765
Phone(262) 946-5752
Fax(262) 946-5765
Sole ProprietorNo
Enumeration DateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1265257661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in WI · 153251-30
3825 39TH AVE STE 120, Kenosha, WI 53144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 15

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

CALLIE COLWELL RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (629) 465-7522
XOCHITL JAMINET RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
LEIGH WOLTERS RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
STACEY WALLACE RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
ANGELA WILKINSON RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
CONNIE KORNMAN RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
LISA SONODA RN
Registered Nurse (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752
NICOLE GILLIAM SAC-IT, LPC-IT
Counselor (Addiction (Substance Use Disorder))
3825 39TH AVE STE 120
KENOSHA, WI 53144
Kenosha County (262) 946-5752

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 Mary Pettit's NPI number?

The NPI number for Mary Pettit is 1265257661. It was assigned to this individual provider in the NPPES registry on November 20, 2024.

Where is Mary Pettit located?

Mary Pettit practices at 3825 39th Ave Ste 120, Kenosha, WI 53144. The listed phone number is (262) 946-5752.

What is Mary Pettit's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

What insurance does Mary Pettit accept?

Health plans from Medica list Mary Pettit as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Pettit was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.