1. Home
  2. Directory
  3. Connecticut
  4. New Haven
  5. Nurse Practitioner
  6. NPI Profile

MS. DENISHA L PETTWAY
NPI 1356038905
Nurse Practitioner - Gerontology in New Haven, CT

Active since April 21, 2023PECOS Enrolled
397 EASTERN ST APT B, NEW HAVEN, CT 06513(203) 843-1059 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Denisha L Pettway NPPES

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

MS. DENISHA L PETTWAY (NPI 1356038905) is an individual gerontology provider in New Haven, Connecticut, licensed in Connecticut (11964) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356038905
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. DENISHA L PETTWAY
Location Address397 EASTERN ST APT BNew Haven, CT 06513-2369
Mailing Address397 Eastern St Apt BNew Haven, CT 06513-2369 · (203) 843-1059
Phone(203) 843-1059
Sole ProprietorYes
Enumeration DateApril 21, 2023
Last NPPES UpdateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1356038905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CT · 11964
397 EASTERN ST APT B, New Haven, CT 06513
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Denisha L Pettway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06513 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Denisha Pettway's NPI number?

The NPI number for Denisha Pettway is 1356038905. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Where is Denisha Pettway located?

Denisha Pettway practices at 397 Eastern St Apt B, New Haven, CT 06513. The listed phone number is (203) 843-1059.

What is Denisha Pettway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Denisha Pettway enrolled in Medicare?

Yes. Denisha Pettway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Denisha Pettway was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.