ANNIE RUTH PETTEYS RN, FNP-BC
NPI 1720475361
Nurse Practitioner - Family in Long Beach, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since April 21, 2015PECOS Enrolled

2801 ATLANTIC AVE, LONG BEACH, CA 90806(562) 933-8100 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Annie Ruth Petteys Rn, Fnp-bc NPPES

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

ANNIE RUTH PETTEYS RN, FNP-BC (NPI 1720475361) is an individual family provider in Long Beach, California, licensed in California (576378) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720475361

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANNIE RUTH PETTEYSCredential: RN, FNP-BC

Location Address2801 ATLANTIC AVELong Beach, CA 90806-1701

Mailing Address2801 Atlantic AveLong Beach, CA 90806-1701 · (562) 933-8100

Phone(562) 933-8100

Sole ProprietorYes

Enumeration DateApril 21, 2015

✔ NPI 1720475361 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 CA · 576378

Also ListedRegistered NurseTaxonomy 163W00000X · License 576378 (CA)

2801 ATLANTIC AVE, Long Beach, CA 90806

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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)

Annie Ruth Petteys Rn, Fnp-bc 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 90806 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.