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SHANNON PETTERUTI NP-C
NPI 1386178747
Nurse Practitioner - Family in Warwick, RI

Active since April 12, 2017PECOS Enrolled
250 CENTERVILLE RD, BLDG E, WARWICK, RI 02886(401) 921-5934 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shannon Petteruti Np-c NPPES

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

SHANNON PETTERUTI NP-C (NPI 1386178747) is an individual family provider in Warwick, Rhode Island, licensed in Rhode Island (APRN01543) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386178747
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON PETTERUTICredential: NP-C
Location Address250 CENTERVILLE RD, BLDG EWarwick, RI 02886-4400
Mailing Address250 Centerville Rd, Bldg EWarwick, RI 02886-4400
Phone(401) 921-5934
Sole ProprietorYes
Enumeration DateApril 12, 2017
✔ NPI 1386178747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in RI · APRN01543
250 CENTERVILLE RD, Warwick, RI 02886
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Petteruti Np-c 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 Shannon Petteruti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Planned Parenthood Of Southern New England, Inc.
80 mi
Ambulatory Family Planning Facility
345 WHITNEY AVE
New Haven, CT 06511
  • Reassigned Medicare billing, Rhode Island enrollment
  • 35 clinicians in this Medicare group
NPI 1174633143 (203) 503-0450

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 02886 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier12 claims810 services$1.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

KARI ELIZABETH BANDOLA MSPT
Physical Therapist
250 CENTERVILLE RD
WARWICK, RI 02886
Kent County (401) 384-6490
PETTERUTI FAMILY PRACTICE INC
Family Medicine
250 CENTERVILLE RD, BUILDING E
WARWICK, RI 02886
Kent County (401) 921-5934
NELSON J CHU MD
Internal Medicine (Nephrology)
250 CENTERVILLE RD, BLDG. E
WARWICK, RI 02886
Kent County (401) 739-7380
MEDICAL & RENAL ASSO INC
Internal Medicine (Nephrology)
250 CENTERVILLE RD, WARWICK EXECUTIVE PARK
WARWICK, RI 02886
Kent County (401) 739-7380

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 Shannon Petteruti's NPI number?

The NPI number for Shannon Petteruti is 1386178747. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Shannon Petteruti located?

Shannon Petteruti practices at 250 Centerville Rd Bldg E, Warwick, RI 02886. The listed phone number is (401) 921-5934.

What is Shannon Petteruti's specialty?

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

Is Shannon Petteruti enrolled in Medicare?

Yes. Shannon Petteruti is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shannon Petteruti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Petteruti reassigns Medicare benefits to Planned Parenthood Of Southern New England, Inc. (New Haven, CT). 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 Shannon Petteruti'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 Shannon Petteruti was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.