NICOLE PETRILLO MD
NPI 1336728278
Obstetrics & Gynecology in Shawnee Mission, KS
About Nicole Petrillo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE PETRILLO MD (NPI 1336728278) is an individual obstetrics & gynecology provider in Shawnee Mission, Kansas, licensed in Kansas (04-50947) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Nicole Petrillo Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nicole Petrillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shawnee Mission, KS 66204
- Reassigned Medicare billing, Kansas enrollment
- Medicare enrollment name: Midwest Physician Services LLC
- 56 clinicians in this Medicare group
Merriam, KS 66204
- Reassigned Medicare billing, Kansas enrollment
- 384 clinicians in this Medicare group
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 66203 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MERRIAM, KS 66203
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 Nicole Petrillo's NPI number?
The NPI number for Nicole Petrillo is 1336728278. It was assigned to this individual provider in the NPPES registry on April 7, 2021.
Where is Nicole Petrillo located?
Nicole Petrillo practices at 7440 W Frontage Rd, Shawnee Mission, KS 66203. The listed phone number is (913) 236-6455.
What is Nicole Petrillo's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Nicole Petrillo enrolled in Medicare?
Yes. Nicole Petrillo 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 Nicole Petrillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Petrillo reassigns Medicare benefits to 2 organizations: Mid America Physician Services LLC (Shawnee Mission, KS) and Shawnee Mission Medical Center Inc (Merriam, KS). 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 Nicole Petrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Petrillo accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 2 other insurers list Nicole Petrillo 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 Nicole Petrillo was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Nicole Petrillo, MD · NPI 1336728278
Obstetrics & Gynecology physician in Shawnee Mission, Kansas. Individual provider, active in the CMS NPPES registry since April 7, 2021.
## Identity
- **NPI:** 1336728278 (Entity type: Individual)
- **Enumerated:** April 7, 2021
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 04-50947 (Kansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7440 W FRONTAGE RD, Shawnee Mission, KS 66203-4670
- **Phone:** (913) 236-6455
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mid America Physician Services LLC (NPI 1952734741, Shawnee Mission, KS); Shawnee Mission Medical Center Inc (NPI 1992735690, Merriam, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336728278) · Data from the CMS NPPES public registry.