ELIZABETH J PETELIN DO
NPI 1851915854
Family Medicine in Paola, KS
About Elizabeth J Petelin Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH J PETELIN DO (NPI 1851915854) is an individual family medicine provider in Paola, Kansas, licensed in Kansas (05-47905) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains a secondary practice location in Olathe.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Elizabeth J Petelin Do 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
2Medicare enrollment records show Elizabeth Petelin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Paola, KS 66071
- Reassigned Medicare billing, Kansas enrollment
- 44 clinicians in this Medicare group
Overland Park, KS 66211
- Reassigned Medicare billing, Kansas enrollment
- 178 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kansas Hospital
Acute Care Hospitals · Kansas City, KSOlathe Medical Center
Acute Care Hospitals · Olathe, KSMiami County Medical Center
Acute Care Hospitals · La Cygne, KSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 66071 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elizabeth Petelin's NPI number?
The NPI number for Elizabeth Petelin is 1851915854. It was assigned to this individual provider in the NPPES registry on June 4, 2020.
Where is Elizabeth Petelin located?
Elizabeth Petelin practices at 1318 Kansas Dr, Paola, KS 66071. The listed phone number is (913) 557-5678.
What is Elizabeth Petelin's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elizabeth Petelin enrolled in Medicare?
Yes. Elizabeth Petelin 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 Elizabeth Petelin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Petelin reassigns Medicare benefits to 2 organizations: Miami County Medical Center Inc. (Paola, KS) and Jayhawk Primary Care Inc (Overland Park, KS). 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 Elizabeth Petelin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Petelin accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 4 other insurers list Elizabeth Petelin 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 Elizabeth Petelin affiliated with any hospitals?
According to CMS data, Elizabeth Petelin is affiliated with University Of Kansas Hospital, Olathe Medical Center and Miami County Medical Center.
When was this NPI record last updated?
The NPPES record for Elizabeth Petelin was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Elizabeth J Petelin, DO · NPI 1851915854
Family Medicine physician in Paola, Kansas. Individual provider, active in the CMS NPPES registry since June 4, 2020.
## Identity
- **NPI:** 1851915854 (Entity type: Individual)
- **Enumerated:** June 4, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 05-47905 (Kansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1318 KANSAS DR, Paola, KS 66071-2107
- **Phone:** (913) 557-5678 · **Fax:** (913) 557-5681
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Miami County Medical Center Inc. (NPI 1407603277, Paola, KS); Jayhawk Primary Care Inc (NPI 1982845970, Overland Park, KS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1851915854) · Data from the CMS NPPES public registry.