AMY PETRILLO NP
NPI 1902540594
Nurse Practitioner - Acute Care in Gainesville, GA

Q: What is Amy Petrillo's NPI number?

The NPI number for Amy Petrillo is 1902540594. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Q: What is Amy Petrillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Amy Petrillo was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since April 21, 2022PECOS EnrolledAccepts Medicare Assignment

663 LANIER PARK DR, GAINESVILLE, GA 30501(678) 450-0202(678) 450-0080 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2024, Apr 21, 2022 (2 updates tracked since 2022).

On this page

About Amy Petrillo Np NPPES

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

AMY PETRILLO NP (NPI 1902540594) is an individual acute care provider in Gainesville, Georgia, licensed in Georgia (RN237354) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902540594

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameAMY PETRILLOCredential: NP

Location Address663 LANIER PARK DRGainesville, GA 30501-2059

Mailing Address663 Lanier Park DrGainesville, GA 30501-2059 · (678) 450-0202 · Fax (678) 450-0080

Phone(678) 450-0202

Fax(678) 450-0080

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 21, 2022

Last NPPES UpdateDecember 3, 20242 updates tracked since enumeration

NPPES CertifiedNovember 26, 2024

✔ NPI 1902540594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · RN237354

663 LANIER PARK DR, Gainesville, GA 30501

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Amy Petrillo Np 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 ID5395275077

PECOS Enrollment IDI20250211000631

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number110029

Location743 Spring StreetGainesville, GA 30501 · Hall County

Emergency services Birthing friendly

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number110230

Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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.

MR. VIKRAMJEET M KAKADE MD

Internal Medicine (Nephrology)