QUINTINA B PETTY FNP
NPI 1851862734
Nurse Practitioner - Family in Shelby, NC
About Quintina B Petty Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUINTINA B PETTY FNP (NPI 1851862734) is an individual family provider in Shelby, North Carolina, licensed in North Carolina (245972) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Quintina B Petty Fnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Quintina Petty reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raleigh, NC 27606
- Reassigned Medicare billing, South Carolina enrollment
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 92 clinicians in this Medicare group
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 46 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28150 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SHELBY, NC 28150
SHELBY, NC 28150
SHELBY, NC 28150
SHELBY, NC 28150
SHELBY, NC 28150
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 Quintina Petty's NPI number?
The NPI number for Quintina Petty is 1851862734. It was assigned to this individual provider in the NPPES registry on December 17, 2018.
Where is Quintina Petty located?
Quintina Petty practices at 951 Wendover Height Dr, Shelby, NC 28150. The listed phone number is (704) 487-4677.
What is Quintina Petty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Quintina Petty enrolled in Medicare?
Yes. Quintina Petty 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.
Which organizations bill Medicare for Quintina Petty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Quintina Petty reassigns Medicare benefits to 3 organizations: Complete Care Psychiatry PLLC (Raleigh, NC), Lifesource Of North Carolina (Wilmington, NC) and Lifesource Prime Inc (Wilmington, NC). Each 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 Quintina Petty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Quintina Petty accept?
Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Quintina Petty 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 Quintina Petty was last updated on December 17, 2018. 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.
# Quintina B Petty, FNP · NPI 1851862734
Family physician in Shelby, North Carolina. Individual provider, active in the CMS NPPES registry since December 17, 2018.
## Identity
- **NPI:** 1851862734 (Entity type: Individual)
- **Enumerated:** December 17, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 245972 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 951 WENDOVER HEIGHT DR, Shelby, NC 28150-3565
- **Phone:** (704) 487-4677
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Complete Care Psychiatry PLLC (NPI 1295561587, Raleigh, NC); Lifesource Of North Carolina (NPI 1811286156, Wilmington, NC); Lifesource Prime Inc (NPI 1598533275, Wilmington, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1851862734) · Data from the CMS NPPES public registry.