REBEKAH PAIGE PETRIELLA FNP
NPI 1366197402
Nurse Practitioner in Charlotte, NC

Q: What is Rebekah Petriella's NPI number?

The NPI number for Rebekah Petriella is 1366197402. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Q: What is Rebekah Petriella's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rebekah Petriella was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since February 17, 2022PECOS Enrolled

6047 TYVOLA GLEN CIR, CHARLOTTE, NC 28217(443) 383-9300(855) 866-8710 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2023, Dec 13, 2022, Jul 13, 2022 and 1 more (4 updates tracked since 2022).

On this page

About Rebekah Paige Petriella Fnp NPPES

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

REBEKAH PAIGE PETRIELLA FNP (NPI 1366197402) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5015845) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366197402

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameREBEKAH PAIGE PETRIELLACredential: FNP

Location Address6047 TYVOLA GLEN CIRCharlotte, NC 28217-6431

Mailing Address1230 26th Ave NeHickory, NC 28601-7611 · (828) 962-8481

Phone(443) 383-9300

Fax(855) 866-8710

Sole ProprietorNo

Enumeration DateFebruary 17, 2022

Last NPPES UpdateJanuary 24, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2025

✔ NPI 1366197402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in NC · 5015845✔ Licensed in TX · 1151725✔ Licensed in SC · APN.28370

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6047 TYVOLA GLEN CIR, Charlotte, NC 28217

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Other Identifiers 3

OtherNNK757ANC · Medicare

OtherQ00382662NC · Railroad Medicare

Medicaid1366197402NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rebekah Paige Petriella Fnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Rebekah Petriella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chma Of Nc

Same address

Internal Medicine

6047 TYVOLA GLEN CIR STE 100
Charlotte, NC 28217

Reassigned Medicare billing, North Carolina enrollment
47 clinicians in this Medicare group

NPI 1982364469 (443) 383-9300

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 28217 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 14

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

TOUCH OF FAITH HOMECARE SERVICES, LLC

In Home Supportive Care

6047 TYVOLA GLEN CIR
CHARLOTTE, NC 28217

Mecklenburg County (704) 559-9233

SKYCARE SERVICES LLC

Counselor (Mental Health)

6047 TYVOLA GLEN CIR
CHARLOTTE, NC 28217

Mecklenburg County (980) 999-2099

MISS SYDNEY GUYTON RN, A-GNP, APRN

Nurse Practitioner (Gerontology)

6047 TYVOLA GLEN CIR
CHARLOTTE, NC 28217

Mecklenburg County (443) 383-9300

HOME HEALTH ENTERPRISES, INC

Nursing Care

6047 TYVOLA GLEN CIR, #134
CHARLOTTE, NC 28217

Mecklenburg County (704) 414-6563

PIEDMONT CLINICAL LOGISTICS LLC

Community/Behavioral Health

6047 TYVOLA GLEN CIR
CHARLOTTE, NC 28217

Mecklenburg County (704) 490-3666

SAFE RIDES INC

Non-emergency Medical Transport (VAN)

6047 TYVOLA GLEN CIR
CHARLOTTE, NC 28217

Mecklenburg County (980) 867-8850

ALTERNATIVE TRANSITIONS OF THE CAROLINAS

Home Health

6047 TYVOLA GLEN CIR
CHARLOTTE, NC 28217

Mecklenburg County (704) 414-6738

ALTERNATIVE TRANSITIONS OF THE CAROLINAS, INC

Nursing Care

6047 TYVOLA GLEN CIR, SUITE 216
CHARLOTTE, NC 28217

Mecklenburg County (704) 414-6738

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 Rebekah Petriella's NPI number?

The NPI number for Rebekah Petriella is 1366197402. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Where is Rebekah Petriella located?

Rebekah Petriella practices at 6047 Tyvola Glen Cir, Charlotte, NC 28217. The listed phone number is (443) 383-9300.

What is Rebekah Petriella's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rebekah Petriella enrolled in Medicare?

Yes. Rebekah Petriella is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rebekah Petriella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rebekah Petriella reassigns Medicare benefits to Chma Of Nc (Charlotte, NC). The 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 Rebekah Petriella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rebekah Petriella was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.