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PETRINA F. ELLIS APRN-BC
NPI 1356613574
Nurse Practitioner - Family in Yonkers, NY

Active since February 03, 2012PECOS EnrolledAccepts Medicare Assignment
30 S BROADWAY FL 2, YONKERS, NY 10701(914) 968-4898(914) 968-1239 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2025, Dec 6, 2023, Dec 8, 2022 (3 updates tracked since 2022).

About Petrina F. Ellis Aprn-bc NPPES

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

PETRINA F. ELLIS APRN-BC (NPI 1356613574) is an individual family provider in Yonkers, New York, licensed in New York (F349223) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356613574
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePETRINA F. ELLISCredential: APRN-BC
Location Address30 S BROADWAY FL 2Yonkers, NY 10701-3708
Mailing Address30 S Broadway Fl 2Yonkers, NY 10701-3708
Phone(914) 968-4898
Fax(914) 968-1239
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 3, 2012
Last NPPES UpdateFebruary 12, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1356613574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NY · F349223✔ Licensed in GA · RN253453
Also ListedRegistered NurseTaxonomy 163W00000X · License 625326 (NY)
Also ListedInternal MedicineTaxonomy 207R00000X · License F349223 (NY)
30 S BROADWAY FL 2, Yonkers, NY 10701
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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

Petrina F. Ellis Aprn-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 ID9335506096
PECOS Enrollment IDI20231016002051
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 10701 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 2

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

MOBOLAJI OYEKOLA RN
Nurse Practitioner (Family)
30 S BROADWAY FL 2
YONKERS, NY 10701
Westchester County (914) 968-4898
DARY KORNG
Dental Hygienist
30 S BROADWAY FL 2
YONKERS, NY 10701
Westchester County (914) 968-4898

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 Petrina Ellis's NPI number?

The NPI number for Petrina Ellis is 1356613574. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Where is Petrina Ellis located?

Petrina Ellis practices at 30 S Broadway Fl 2, Yonkers, NY 10701. The listed phone number is (914) 968-4898.

What is Petrina Ellis's specialty?

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

Is Petrina Ellis enrolled in Medicare?

Yes. Petrina Ellis 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.

When was this NPI record last updated?

The NPPES record for Petrina Ellis was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.