ELIZABETH A PETCOV CRNP
NPI 1720504152
Nurse Practitioner in Lebanon, PA

Active since August 17, 2017PECOS EnrolledAccepts Medicare Assignment
252 S 4TH ST, LEBANON, PA 17042(717) 270-4876 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2025, Feb 3, 2020, Oct 25, 2019 and 1 more (4 updates tracked since 2017).

About Elizabeth A Petcov Crnp NPPES

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

ELIZABETH A PETCOV CRNP (NPI 1720504152) is an individual nurse practitioner in Lebanon, Pennsylvania, licensed in Pennsylvania (SP017652) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1720504152
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELIZABETH A PETCOVCredential: CRNP
Location Address252 S 4TH STLebanon, PA 17042-6111
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-4051 · Fax (717) 851-6969
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 17, 2017
Last NPPES UpdateNovember 7, 20254 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
NPI 1720504152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP017652
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedHospitalistTaxonomy 208M00000X · License SP017652 (PA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License MC4527581 (PA)
252 S 4TH ST, Lebanon, PA 17042

Other Names 1

Former Name (1)Elizabeth A Carey Crnp

Secondary Practice Locations 3

Location 1169 Martin AveEphrata, PA 17522-1734 · Phone (717) 721-4740 · Fax (717) 738-6872
Location 22401 Park Dr Ste 101Harrisburg, PA 17110-9303 · Phone (717) 686-9842
Location 3720 Norman DrLebanon, PA 17042-7481 · Phone (717) 639-3230 · Fax (717) 274-1659

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elizabeth A Petcov Crnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466718283
PECOS Enrollment IDI20171113000143
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
117 services68 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
73 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
67 services48 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Hospitalist
252 S 4TH ST
LEBANON, PA 17042
Nurse Anesthetist, Certified Registered
252 S 4TH ST
LEBANON, PA 17042
Physician Assistant
252 S 4TH ST, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042
Physician Assistant
252 S 4TH ST
LEBANON, PA 17042
Emergency Medicine
252 S 4TH ST
LEBANON, PA 17042
Emergency Medicine
252 S 4TH ST
LEBANON, PA 17042
Nurse Anesthetist, Certified Registered
252 S 4TH ST
LEBANON, PA 17042
Hospitalist
252 S 4TH ST
LEBANON, PA 17042

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 Elizabeth Petcov's NPI number?

The NPI number for Elizabeth Petcov is 1720504152. It was assigned to this individual provider in the NPPES registry on August 17, 2017. The provider is also known as Elizabeth A Carey Crnp.

Where is Elizabeth Petcov located?

Elizabeth Petcov practices at 252 S 4th St, Lebanon, PA 17042. The listed phone number is (717) 270-4876.

What is Elizabeth Petcov's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elizabeth Petcov enrolled in Medicare?

Yes. Elizabeth Petcov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Elizabeth Petcov affiliated with any hospitals?

According to CMS data, Elizabeth Petcov is affiliated with Wellspan Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Petcov was last updated on November 7, 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.