1. Home
  2. Directory
  3. Alabama
  4. Dothan
  5. Nurse Practitioner
  6. NPI Profile

EMILY BROOKE PETTIS CRNP
NPI 1811390396
Nurse Practitioner - Adult Health in Dothan, AL

Active since September 29, 2014PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1118 ROSS CLARK CIR STE 100, DOTHAN, AL 36301(334) 794-1148 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Emily Brooke Pettis Crnp NPPES

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

EMILY BROOKE PETTIS CRNP (NPI 1811390396) is an individual adult health provider in Dothan, Alabama, licensed in Alabama (AG0114029) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1811390396
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameEMILY BROOKE PETTISCredential: CRNP
Location Address1118 ROSS CLARK CIR STE 100Dothan, AL 36301-3023
Mailing Address1118 Ross Clark Cir Ste 100Dothan, AL 36301-3023 · (334) 794-1148
Phone(334) 794-1148
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 29, 2014
Last NPPES UpdateSeptember 30, 2014
✔ NPI 1811390396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in AL · AG0114029
1118 ROSS CLARK CIR STE 100, Dothan, AL 36301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.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

Emily Brooke Pettis 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 ID2961750187
PECOS Enrollment IDI20180803002825
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

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.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

KELLY S. SHERRILL CRNP
Nurse Practitioner (Adult Health)
1118 ROSS CLARK CIR STE 100
DOTHAN, AL 36301
Houston County (334) 794-1148
DR. ARIELLE AMANDA DAHLIN MD
Internal Medicine
1118 ROSS CLARK CIR STE 100
DOTHAN, AL 36301
Houston County (334) 794-1148
EMILY HYLAND
Nurse Practitioner
1118 ROSS CLARK CIR STE 100
DOTHAN, AL 36301
Houston County (334) 794-1148
DANIEL PAUL CARRIGER DO
Internal Medicine
1118 ROSS CLARK CIR STE 100
DOTHAN, AL 36301
Houston County (334) 671-9752
DR. WILLIAM BENJAMIN HUNDLEY M.D.
Internal Medicine
1118 ROSS CLARK CIR STE 100
DOTHAN, AL 36301
Houston County (334) 794-1148
MRS. ASHLEY COOK PETERS FNP-C
Nurse Practitioner
1118 ROSS CLARK CIR STE 100
DOTHAN, AL 36301
Houston County (334) 794-1148
MRS. ALYSE MARIE MURKERSON MSN, FNP-C
Nurse Practitioner (Family)
1118 ROSS CLARK CIR STE 100
DOTHAN, AL 36301
Houston County (334) 794-1148
SHEYENNE WRIGHT SMITH CRNP
Nurse Practitioner (Family)
1118 ROSS CLARK CIR STE 100
DOTHAN, AL 36301
Houston County (334) 794-1148

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 Emily Pettis's NPI number?

The NPI number for Emily Pettis is 1811390396. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Where is Emily Pettis located?

Emily Pettis practices at 1118 Ross Clark Cir Ste 100, Dothan, AL 36301. The listed phone number is (334) 794-1148.

What is Emily Pettis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Emily Pettis enrolled in Medicare?

Yes. Emily Pettis 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 Emily Pettis accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Emily Pettis 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 Emily Pettis was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.