JESSE PETRUCCI
NPI 1588373377
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA

Q: What is Jesse Petrucci's NPI number?

The NPI number for Jesse Petrucci is 1588373377. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Q: What is Jesse Petrucci's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Petrucci was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 21, 2022PECOS Enrolled

2220 N DRUID HILLS RD NE, ATLANTA, GA 30329(404) 785-5437 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2023, Nov 21, 2022 (2 updates tracked since 2022).

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About Jesse Petrucci NPPES

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

JESSE PETRUCCI (NPI 1588373377) is an individual psychiatric/mental health provider in Atlanta, Georgia, licensed in Georgia (APRN-NP327584) and active in the NPI registry since November 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588373377

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJESSE PETRUCCI

Location Address2220 N DRUID HILLS RD NEAtlanta, GA 30329-3117

Mailing Address7804 Lake Vista Ct Unit 204Lakewood Ranch, FL 34202-2125 · (631) 495-3780

Phone(404) 785-5437

Sole ProprietorNo

Enumeration DateNovember 21, 2022

Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration

NPPES CertifiedOctober 29, 2025

✔ NPI 1588373377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · APRN-NP327584

Also ListedRegistered NurseTaxonomy 163W00000X · License RN327584 (GA)

2220 N DRUID HILLS RD NE, Atlanta, GA 30329

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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)

Jesse Petrucci 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 30329 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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. JOEL A. FRIEDLANDER DO

Pediatrics (Pediatric Gastroenterology)