MRS. JOHANNA CHRISTINE PETTREY FNP-BC
NPI 1265413447
Nurse Practitioner - Family in Portales, NM

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
1515 W FIR ST, PORTALES, NM 88130(575) 356-6695 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2024, Jul 21, 2022, Aug 9, 2021 and 1 more (4 updates tracked since 2017).

About Mrs. Johanna Christine Pettrey Fnp-bc NPPES

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

MRS. JOHANNA CHRISTINE PETTREY FNP-BC (NPI 1265413447) is an individual family provider in Portales, New Mexico, licensed in New Mexico (CNP01151) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, is affiliated with Plains Regional Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1265413447
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JOHANNA CHRISTINE PETTREYCredential: FNP-BC
Location Address1515 W FIR STPortales, NM 88130-5703
Mailing Address912 W 21st StClovis, NM 88101-4154 · (575) 935-9000 · Fax (575) 935-1002
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 7, 2005
Last NPPES UpdateApril 24, 20244 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
NPI 1265413447 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 NM · CNP01151 Licensed in NM · R47083 Licensed in VA · 0001144582
1515 W FIR ST, Portales, NM 88130

Other Identifiers 1

MedicaidG7157NM

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

Mrs. Johanna Christine Pettrey Fnp-bc 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 ID9436208972
PECOS Enrollment IDI20090513000022
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 2

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
58 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
38 services32 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320022
Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County
Emergency services Birthing friendly

Roosevelt General Hospital

Acute Care Hospitals · Portales, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number320084
Location42121 Us Highway 70Portales, NM 88130 · Roosevelt County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88130 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$109.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Dentist
1515 W FIR ST
PORTALES, NM 88130
Nurse Practitioner (Family)
1515 W FIR ST
PORTALES, NM 88130
Nurse Practitioner (Family)
1515 W FIR ST
PORTALES, NM 88130
Nurse Practitioner (Psychiatric/Mental Health)
1515 W FIR ST
PORTALES, NM 88130
Local Education Agency (LEA)
1515 W FIR ST
PORTALES, NM 88130
Nurse Practitioner
1515 W FIR ST
PORTALES, NM 88130
Internal Medicine
1515 W FIR ST
PORTALES, NM 88130
Pediatrics (Pediatric Hematology-Oncology)
1515 W FIR ST
PORTALES, NM 88130

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 Johanna Pettrey's NPI number?

The NPI number for Johanna Pettrey is 1265413447. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Johanna Pettrey located?

Johanna Pettrey practices at 1515 W Fir St, Portales, NM 88130. The listed phone number is (575) 356-6695.

What is Johanna Pettrey's specialty?

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

Is Johanna Pettrey enrolled in Medicare?

Yes. Johanna Pettrey 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.

What insurance does Johanna Pettrey accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Johanna Pettrey 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.

Is Johanna Pettrey affiliated with any hospitals?

According to CMS data, Johanna Pettrey is affiliated with Plains Regional Medical Center and Roosevelt General Hospital.

When was this NPI record last updated?

The NPPES record for Johanna Pettrey was last updated on April 24, 2024. 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.