MARY CATHERINE PETRICCIONE CPNP
NPI 1396931770
Nurse Practitioner - Pediatrics in New York, NY
About Mary Catherine Petriccione Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY CATHERINE PETRICCIONE CPNP (NPI 1396931770) is an individual pediatrics provider in New York, New York, licensed in New York (F380212-1) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary Catherine Petriccione Cpnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Petriccione reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 220 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 452 clinicians in this Medicare group
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 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10065
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 Mary Petriccione's NPI number?
The NPI number for Mary Petriccione is 1396931770. It was assigned to this individual provider in the NPPES registry on September 19, 2007.
Where is Mary Petriccione located?
Mary Petriccione practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2153.
What is Mary Petriccione's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Mary Petriccione enrolled in Medicare?
Yes. Mary Petriccione 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.
Which organizations bill Medicare for Mary Petriccione's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Petriccione reassigns Medicare benefits to 2 organizations: Memorial Pediatric Group (New York, NY) and Mskcc Surgery Group (New York, NY). Each 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 Mary Petriccione'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 Mary Petriccione was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mary Catherine Petriccione, CPNP · NPI 1396931770
Pediatrics physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 19, 2007.
## Identity
- **NPI:** 1396931770 (Entity type: Individual)
- **Enumerated:** September 19, 2007
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** F380212-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10065-6007
- **Phone:** (212) 639-2153 · **Fax:** (212) 639-7107
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorial Pediatric Group (NPI 1750352381, New York, NY); Mskcc Surgery Group (NPI 1699766261, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** March 18, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1396931770) · Data from the CMS NPPES public registry.