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NICOLE PETTAS MD
NPI 1538898317
Hospitalist in Mineola, NY

Active since June 07, 2022PECOS Enrolled
222 STATION PLZ N STE 509, MINEOLA, NY 11501(516) 663-2381 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 5, 2025, Jun 7, 2022 (2 updates tracked since 2022).

About Nicole Pettas Md NPPES

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

NICOLE PETTAS MD (NPI 1538898317) is an individual hospitalist provider in Mineola, New York, licensed in New York (336183) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1538898317
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameNICOLE PETTASCredential: MD
Location Address222 STATION PLZ N STE 509Mineola, NY 11501-3893
Mailing Address19 Tyler CtMahopac, NY 10541-2798
Phone(516) 663-2381
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 7, 2022
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1538898317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 336183
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
222 STATION PLZ N STE 509, Mineola, NY 11501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Pettas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800382789
PECOS Enrollment IDI20251230002371
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 Nicole Pettas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,045 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 11501 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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 20

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

DR. ERIK LAWRENCE MD
Radiology (Diagnostic Radiology)
222 STATION PLZ N STE 509
MINEOLA, NY 11501
Nassau County (516) 663-2381
YAATHIKA CHALLAPALLI MD
Student in an Organized Health Care Education/Training Program
222 STATION PLZ N STE 509
MINEOLA, NY 11501
Nassau County (516) 663-2381
BYEONGHO JUNG MD
Student in an Organized Health Care Education/Training Program
222 STATION PLZ N STE 509
MINEOLA, NY 11501
Nassau County (516) 663-2381
MATTHEW SEIBERT MD
Student in an Organized Health Care Education/Training Program
222 STATION PLZ N STE 509
MINEOLA, NY 11501
Nassau County (516) 663-2381
DARAN SCHILLER MD
Student in an Organized Health Care Education/Training Program
222 STATION PLZ N STE 509
MINEOLA, NY 11501
Nassau County (516) 663-2381
BILLY DING
Student in an Organized Health Care Education/Training Program
222 STATION PLZ N STE 509
MINEOLA, NY 11501
Nassau County (516) 663-2381
ALEXANDER GREENSTONE
Student in an Organized Health Care Education/Training Program
222 STATION PLZ N STE 509
MINEOLA, NY 11501
Nassau County (646) 929-7870
TREVOR JAMES MCHUGH MD
Student in an Organized Health Care Education/Training Program
222 STATION PLZ N STE 509
MINEOLA, NY 11501
Nassau County (516) 663-1500

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 Nicole Pettas's NPI number?

The NPI number for Nicole Pettas is 1538898317. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Nicole Pettas located?

Nicole Pettas practices at 222 Station Plz N Ste 509, Mineola, NY 11501. The listed phone number is (516) 663-2381.

What is Nicole Pettas's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nicole Pettas enrolled in Medicare?

Yes. Nicole Pettas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Pettas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Pettas reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Nicole Pettas'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 Nicole Pettas was last updated on June 5, 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.