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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: November 01, 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
Phone(203) 573-6232
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
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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kerry Petrello reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yale University
16 mi
Adult Mental Health
95 CIRCULAR AVE
Hamden, CT 06514
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group
NPI 1134391824 (203) 288-6253
Hartford Hospital
24 mi
Surgery
80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • Also billed through NPI 1770696643 (Connecticut)
  • 1,333 clinicians in this Medicare group
NPI 1407806391 (860) 545-7602
Prospect Ct Medical Foundation, Inc.
32 mi
Family Medicine
71 HAYNES ST, MILLER BLDG., FLOOR G
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 422 clinicians in this Medicare group
NPI 1144677568 (860) 533-2981

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 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.

MR. PETER SAMIR HANNA PA-C
Physician Assistant (Medical)
64 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (704) 340-5079
HOSPITALIST PHYSICIANS OF CONNECTICUT PC
Hospitalist
64 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-6000
AZIZ SAADE MD
Student in an Organized Health Care Education/Training Program
64 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7257
MS. SHAWNDAY BECERRIL LPC
Counselor (Professional)
64 ROBBINS ST, CRISIS CENTER
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-6500
DR. ALLEN ABBOTT CURRIER III DO
Student in an Organized Health Care Education/Training Program
64 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-6162
MRS. JULIET ELISABETH RIVERA PA-C
Physician Assistant
64 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7066
ALAN DAVID KESTENBAUM M.D.
Anesthesiology
64 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-6000
DR. STEVEN ERIC SCHNEIDER M.D.
Psychiatry & Neurology (Psychiatry)
64 ROBBINS ST
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 573-7141

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.

Which organizations bill Medicare for Kerry Petrello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kerry Petrello reassigns Medicare benefits to 3 organizations: Yale University (Hamden, CT), Hartford Hospital (Hartford, CT) and Prospect Ct Medical Foundation, Inc. (Manchester, CT). 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 Kerry Petrello'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 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.