MRS. JENNIFER R PETKOS CFNP
NPI 1821227935
Nurse Practitioner - Family in New York, NY
About Mrs. Jennifer R Petkos Cfnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JENNIFER R PETKOS CFNP (NPI 1821227935) is an individual family provider in New York, New York, licensed in New York (F335842-1) and active in the NPI registry since July 2009. She has opted out of Medicare through October 4, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mrs. Jennifer R Petkos Cfnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 4, 2022 through October 4, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10065
NEW YORK, NY 10065
NEW YORK, NY 10065
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 Jennifer Petkos's NPI number?
The NPI number for Jennifer Petkos is 1821227935. It was assigned to this individual provider in the NPPES registry on July 9, 2009.
Where is Jennifer Petkos located?
Jennifer Petkos practices at 525 E 68th St, New York, NY 10065. The listed phone number is (212) 746-5454.
What is Jennifer Petkos's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jennifer Petkos enrolled in Medicare?
No. Jennifer Petkos has opted out of Medicare through October 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jennifer Petkos was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mrs. Jennifer R Petkos, CFNP · NPI 1821227935
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since July 9, 2009.
## Identity
- **NPI:** 1821227935 (Entity type: Individual)
- **Enumerated:** July 9, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F335842-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 E 68TH ST, New York, NY 10065-4870
- **Phone:** (212) 746-5454
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 4, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** March 13, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1821227935) · Data from the CMS NPPES public registry.