KERRY PETRELLO
NPI 1578041430
Nurse Practitioner - Family in Waterbury, CT

Active since August 02, 2018PECOS Enrolled
64 ROBBINS ST, WATERBURY, CT 06708(203) 573-6232(203) 573-6030 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2018, Aug 2, 2018 (2 updates tracked since 2018).

About Kerry Petrello NPPES

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

KERRY PETRELLO (NPI 1578041430) is an individual family provider in Waterbury, Connecticut, licensed in Connecticut (7838) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Haven.

NPPES Registry Identity

NPI1578041430
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKERRY PETRELLO
Location Address64 ROBBINS STWaterbury, CT 06708
Mailing Address64 Robbins StWaterbury, CT 06708-2613
Fax(203) 573-6030
Sole ProprietorNo
Enumeration DateAugust 2, 2018
Last NPPES UpdateJune 24, 20222 updates tracked since enumeration
NPPES CertifiedJune 24, 2022
NPI 1578041430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CT · 7838
Also ListedRegistered NurseTaxonomy 163W00000X · License 69413 (CT)
64 ROBBINS ST, Waterbury, CT 06708

Secondary Practice Location 1

Location 1687 Campbell AveWest Haven, CT 06516-3774 · Phone (203) 932-6481

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kerry Petrello 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 06708 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

Physician Assistant (Medical)
64 ROBBINS ST
WATERBURY, CT 06708
Hospitalist
64 ROBBINS ST
WATERBURY, CT 06708
Student in an Organized Health Care Education/Training Program
64 ROBBINS ST
WATERBURY, CT 06708
Counselor (Professional)
64 ROBBINS ST, CRISIS CENTER
WATERBURY, CT 06708
Student in an Organized Health Care Education/Training Program
64 ROBBINS ST
WATERBURY, CT 06708
Physician Assistant
64 ROBBINS ST
WATERBURY, CT 06708
Anesthesiology
64 ROBBINS ST
WATERBURY, CT 06708
Psychiatry & Neurology (Psychiatry)
64 ROBBINS ST
WATERBURY, CT 06708

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 Kerry Petrello's NPI number?

The NPI number for Kerry Petrello is 1578041430. It was assigned to this individual provider in the NPPES registry on August 2, 2018.

Where is Kerry Petrello located?

Kerry Petrello practices at 64 Robbins St, Waterbury, CT 06708. The listed phone number is (203) 573-6232.

What is Kerry Petrello's specialty?

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

Is Kerry Petrello enrolled in Medicare?

Yes. Kerry Petrello is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerry Petrello was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.