NICOLE PETRILLO MD
NPI 1336728278
Obstetrics & Gynecology in Shawnee Mission, KS

Active since April 07, 2021PECOS EnrolledAccepts Medicare Assignment
7440 W FRONTAGE RD, SHAWNEE MISSION, KS 66203(913) 236-6455 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 17, 2025, Apr 7, 2021 (2 updates tracked since 2021).

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

NPI1336728278
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNICOLE PETRILLOCredential: MD
Location Address7440 W FRONTAGE RDShawnee Mission, KS 66203-4670
Mailing Address10906 W 169th TerOverland Park, KS 66221-7954 · (913) 206-2196
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 7, 2021
Last NPPES UpdateJune 17, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1336728278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in KS · 04-50947
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
7440 W FRONTAGE RD, Shawnee Mission, KS 66203

Secondary Practice Location 1

Location 13500 Gaston AveDallas, TX 75246-2017 · Phone (236) 121-4820

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

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.

PECOS PAC ID446659346
PECOS Enrollment IDI20250915003653
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.

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.

New Patient
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
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 5

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

Obstetrics & Gynecology
7440 W FRONTAGE RD
MERRIAM, KS 66203
Obstetrics & Gynecology
7440 W FRONTAGE RD
MERRIAM, KS 66203
Nurse Practitioner (Women's Health)
7440 W FRONTAGE RD
MERRIAM, KS 66203
Nurse Practitioner (Women's Health)
7440 W FRONTAGE RD
MERRIAM, KS 66203
Obstetrics & Gynecology
7440 W FRONTAGE RD
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.

What insurance does Nicole Petrillo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma 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 13 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.