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MRS. JESSICA R PETRICK NP
NPI 1417671165
Nurse Practitioner - Pediatrics in Syracuse, NY

Active since September 27, 2022PECOS Enrolled
655 MADISON STREET, SYRACUSE, NY 13210(315) 473-8700(315) 473-8707 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Sep 27, 2022 (2 updates tracked since 2022).

About Mrs. Jessica R Petrick Np NPPES

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

MRS. JESSICA R PETRICK NP (NPI 1417671165) is an individual pediatrics provider in Syracuse, New York, licensed in New York (383447) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417671165
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. JESSICA R PETRICKCredential: NP
Location Address655 MADISON STREETSyracuse, NY 13210
Mailing Address251 Salina Meadows Parkway, Suite 100Syracuse, NY 13212 · (315) 464-2000 · Fax (315) 464-2010
Phone(315) 473-8700
Fax(315) 473-8707
Sole ProprietorNo
Enumeration DateSeptember 27, 2022
Last NPPES UpdateNovember 7, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1417671165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 383447
Also ListedPediatricsTaxonomy 208000000X · License 383447 (NY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 383447 (NY)
655 MADISON STREET, Syracuse, NY 13210
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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 (PECOS)

Mrs. Jessica R Petrick Np 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 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 Jessica Petrick's NPI number?

The NPI number for Jessica Petrick is 1417671165. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Jessica Petrick located?

Jessica Petrick practices at 655 Madison Street, Syracuse, NY 13210. The listed phone number is (315) 473-8700.

What is Jessica Petrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Petrick enrolled in Medicare?

Yes. Jessica Petrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Petrick was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.