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TINESHA SHANTA PETTIWAY
NPI 1881375780
Nurse Practitioner - Gerontology in Webster, TX

Active since July 25, 2023PECOS EnrolledAccepts Medicare Assignment
205 E MEDICAL CENTER BLVD # 100, WEBSTER, TX 77598(346) 800-6001 Get Directions Write a Review

NPPES record last updated: October 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 16, 2023, Oct 13, 2023, Jul 25, 2023 (3 updates tracked since 2023).

About Tinesha Shanta Pettiway NPPES

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

TINESHA SHANTA PETTIWAY (NPI 1881375780) is an individual gerontology provider in Webster, Texas, licensed in Texas (1129705) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1881375780
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTINESHA SHANTA PETTIWAY
Location Address205 E MEDICAL CENTER BLVD # 100Webster, TX 77598-4376
Mailing Address12700 Stafford Rd Apt 1321Stafford, TX 77477-3576 · (205) 401-7386
Phone(346) 800-6001
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 25, 2023
Last NPPES UpdateOctober 16, 20233 updates tracked since enumeration
NPPES CertifiedOctober 16, 2023
✔ NPI 1881375780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1129705
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1129705 (TX)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1129705 (TX)
205 E MEDICAL CENTER BLVD # 100, Webster, TX 77598
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Tinesha Shanta Pettiway 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 ID7214390541
PECOS Enrollment IDI20230901003287
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 4

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 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.
54 services24 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
37 services20 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
20 services16 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482
A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77598 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Tinesha Pettiway's NPI number?

The NPI number for Tinesha Pettiway is 1881375780. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Tinesha Pettiway located?

Tinesha Pettiway practices at 205 E Medical Center Blvd # 100, Webster, TX 77598. The listed phone number is (346) 800-6001.

What is Tinesha Pettiway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Tinesha Pettiway enrolled in Medicare?

Yes. Tinesha Pettiway 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 Tinesha Pettiway accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Tinesha Pettiway 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 Tinesha Pettiway was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.