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NICOLE PETTYJOHN NP
NPI 1770950594
Nurse Practitioner - Family in Wilmington, DE

Active since August 27, 2015PECOS EnrolledAccepts Medicare Assignment
501 SILVERSIDE RD STE 102, WILMINGTON, DE 19809(443) 383-9300(855) 866-8710 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2023, Dec 13, 2021 (2 updates tracked since 2021).

About Nicole Pettyjohn Np NPPES

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

NICOLE PETTYJOHN NP (NPI 1770950594) is an individual family provider in Wilmington, Delaware, licensed in Delaware (LG-0011811) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1770950594
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE PETTYJOHNCredential: NP
Location Address501 SILVERSIDE RD STE 102Wilmington, DE 19809-1376
Mailing Address909 Ridgebrook Rd Ste 300Sparks, MD 21152-9477 · (443) 383-9300 · Fax (855) 866-8710
Phone(443) 383-9300
Fax(855) 866-8710
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 27, 2015
Last NPPES UpdateMarch 17, 20232 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1770950594 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 DE · LG-0011811
Also ListedRegistered NurseTaxonomy 163W00000X · License L1-0047114 (DE)
501 SILVERSIDE RD STE 102, Wilmington, DE 19809
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Nicole Pettyjohn Np 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 ID6709253545
PECOS Enrollment IDI20230407001049
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 14

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
560 services141 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
354 services238 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
318 services134 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
304 services95 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
293 services108 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
291 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19809 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAYNE MURPHY NP
Nurse Practitioner
501 SILVERSIDE RD STE 102
WILMINGTON, DE 19809
New Castle County (443) 383-9300
ALL ABOUT ABA, LLC
Community/Behavioral Health
501 SILVERSIDE RD STE 102
WILMINGTON, DE 19809
New Castle County (574) 200-0038
RACHAEL VIGIL APRN
Nurse Practitioner (Family)
501 SILVERSIDE RD STE 102
WILMINGTON, DE 19809
New Castle County (443) 383-9300

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 Nicole Pettyjohn's NPI number?

The NPI number for Nicole Pettyjohn is 1770950594. It was assigned to this individual provider in the NPPES registry on August 27, 2015.

Where is Nicole Pettyjohn located?

Nicole Pettyjohn practices at 501 Silverside Rd Ste 102, Wilmington, DE 19809. The listed phone number is (443) 383-9300.

What is Nicole Pettyjohn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Pettyjohn enrolled in Medicare?

Yes. Nicole Pettyjohn 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.

What insurance does Nicole Pettyjohn accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Nicole Pettyjohn 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 Nicole Pettyjohn was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.