DR. NICHOLAS DAVID PETRINI DC
NPI 1770888588
Chiropractor in Seattle, WA

Q: What is Nicholas Petrini's NPI number?

The NPI number for Nicholas Petrini is 1770888588. It was assigned to this individual provider in the NPPES registry on January 26, 2011.

Q: What is Nicholas Petrini's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Petrini was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 26, 2011

4041 ROOSEVELT WAY NE, STE 101, SEATTLE, WA 98105(203) 312-3894 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2021, May 16, 2019, Jan 11, 2016 (3 updates tracked since 2016).

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About Dr. Nicholas David Petrini Dc NPPES

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

DR. NICHOLAS DAVID PETRINI DC (NPI 1770888588) is an individual chiropractor in Seattle, Washington, licensed in Washington (CH60647239) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1770888588

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. NICHOLAS DAVID PETRINICredential: DC

Location Address4041 ROOSEVELT WAY NE, STE 101Seattle, WA 98105-6579

Mailing Address5534 84th Dr NeMarysville, WA 98270-8509 · (203) 312-3894

Phone(203) 312-3894

Sole ProprietorNo

Enumeration DateJanuary 26, 2011

Last NPPES UpdateOctober 15, 20213 updates tracked since enumeration

NPPES CertifiedOctober 15, 2021

✔ NPI 1770888588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WA · CH60647239

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License CH60647239 (WA)

Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License X012149-1 (NY)

4041 ROOSEVELT WAY NE, Seattle, WA 98105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas David Petrini Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Petrini reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Functional Health Consulting, LLC

1.0 mi

Sports Physician

4915 25TH AVE NE STE 104
Seattle, WA 98105

Reassigned Medicare billing, Washington enrollment
41 clinicians in this Medicare group

NPI 1538645288 (206) 315-7998

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nicholas Petrini's NPI number?

The NPI number for Nicholas Petrini is 1770888588. It was assigned to this individual provider in the NPPES registry on January 26, 2011.

Where is Nicholas Petrini located?

Nicholas Petrini practices at 4041 Roosevelt Way NE Ste 101, Seattle, WA 98105. The listed phone number is (203) 312-3894.

What is Nicholas Petrini's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nicholas Petrini enrolled in Medicare?

Yes. Nicholas Petrini is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Petrini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Petrini reassigns Medicare benefits to Functional Health Consulting, LLC (Seattle, WA). The 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 Nicholas Petrini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Petrini accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicholas Petrini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Petrini was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.