LISA ANN PETRELLA FNP-C
NPI 1902628555
Nurse Practitioner - Family in Freeville, NY
About Lisa Ann Petrella Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA ANN PETRELLA FNP-C (NPI 1902628555) is an individual family provider in Freeville, New York, licensed in New York (354427) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Lisa Ann Petrella Fnp-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Guthrie Cortland Regional Medical Center
Acute Care Hospitals · Cortland, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Lisa Petrella's NPI number?
The NPI number for Lisa Petrella is 1902628555. It was assigned to this individual provider in the NPPES registry on October 25, 2024.
Where is Lisa Petrella located?
Lisa Petrella practices at 410 Ferguson Rd, Freeville, NY 13068. The listed phone number is (315) 480-8664.
What is Lisa Petrella's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Petrella enrolled in Medicare?
Yes. Lisa Petrella 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.
Is Lisa Petrella affiliated with any hospitals?
According to CMS data, Lisa Petrella is affiliated with Guthrie Cortland Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Lisa Petrella was last updated on October 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Lisa Ann Petrella, FNP-C · NPI 1902628555
Family physician in Freeville, New York. Individual provider, active in the CMS NPPES registry since October 25, 2024.
## Identity
- **NPI:** 1902628555 (Entity type: Individual)
- **Enumerated:** October 25, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 354427 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 410 FERGUSON RD, Freeville, NY 13068-5635
- **Phone:** (315) 480-8664
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902628555) · Data from the CMS NPPES public registry.