MRS. AMY DIETZEN PETTICREW PA-C
NPI 1801287610
Physician Assistant in Charlotte, NC

Active since February 16, 2015PECOS EnrolledAccepts Medicare Assignment
6324 FAIRVIEW RD, SUITE 201, CHARLOTTE, NC 28210(704) 384-0588 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Amy Dietzen Petticrew Pa-c NPPES

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

MRS. AMY DIETZEN PETTICREW PA-C (NPI 1801287610) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-05569) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Brody School Of Medicine At East Carolina University (2014).

NPPES Registry Identity

NPI1801287610
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. AMY DIETZEN PETTICREWCredential: PA-C
Location Address6324 FAIRVIEW RD, SUITE 201Charlotte, NC 28210-3271
Mailing AddressPo Box 60447, Suite 200Charlotte, NC 28260-0447 · (704) 384-0588
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2014
Enumeration DateFebruary 16, 2015
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 26, 2023
NPI 1801287610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 0010-05569
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6324 FAIRVIEW RD, Charlotte, NC 28210

Other Names 1

Former Name (1)Amy Elizabeth Dietzen

Accepted 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

Mrs. Amy Dietzen Petticrew Pa-c 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 ID9234456229
PECOS Enrollment IDI20150401001116
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
81 services40 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
46 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
18 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services11 patients

Hospital Affiliations CMS Care Compare

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
88%43 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%67 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
53%74 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
65%40 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Family Medicine
6324 FAIRVIEW RD, SUITE 201
CHARLOTTE, NC 28210
Internal Medicine
6324 FAIRVIEW RD, SUITE 310
CHARLOTTE, NC 28210
Radiology (Diagnostic Radiology)
6324 FAIRVIEW RD, SUITE 120 A
CHARLOTTE, NC 28210
Internal Medicine (Geriatric Medicine)
6324 FAIRVIEW RD, SUITE 310
CHARLOTTE, NC 28210
Radiology (Diagnostic Radiology)
6324 FAIRVIEW RD, SUITE 120 A
CHARLOTTE, NC 28210
Obstetrics & Gynecology
6324 FAIRVIEW RD, SUITE 390
CHARLOTTE, NC 28210
Nurse Practitioner
6324 FAIRVIEW RD, SUITE 350
CHARLOTTE, NC 28210
Physician Assistant
6324 FAIRVIEW RD
CHARLOTTE, NC 28210

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 Amy Petticrew's NPI number?

The NPI number for Amy Petticrew is 1801287610. It was assigned to this individual provider in the NPPES registry on February 16, 2015. The provider is also known as Amy Elizabeth Dietzen.

Where is Amy Petticrew located?

Amy Petticrew practices at 6324 Fairview Rd Suite 201, Charlotte, NC 28210. The listed phone number is (704) 384-0588.

What is Amy Petticrew's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amy Petticrew enrolled in Medicare?

Yes. Amy Petticrew 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 Amy Petticrew accept?

Health plans from Blue Cross and Blue Shield of NC list Amy Petticrew 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.

Is Amy Petticrew affiliated with any hospitals?

According to CMS data, Amy Petticrew is affiliated with Novant Health Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Petticrew was last updated on April 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.