KIMBERLY PETETIT
NPI 1952290876
Nurse Practitioner - Family in Grants Pass, OR
About Kimberly Petetit NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY PETETIT (NPI 1952290876) is an individual family provider in Grants Pass, Oregon, licensed in Oregon (10047790) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Asante Three Rivers Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Kimberly Petetit 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Asante Three Rivers Medical Center
Acute Care Hospitals · Grants Pass, ORAsante Rogue Regional Medical Center
Acute Care Hospitals · Medford, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97527 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRANTS PASS, OR 97527
GRANTS PASS, OR 97527
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 Kimberly Petetit's NPI number?
The NPI number for Kimberly Petetit is 1952290876. It was assigned to this individual provider in the NPPES registry on July 3, 2025.
Where is Kimberly Petetit located?
Kimberly Petetit practices at 520 SW Ramsey Ave, Grants Pass, OR 97527. The listed phone number is (541) 472-7810.
What is Kimberly Petetit's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Petetit enrolled in Medicare?
Yes. Kimberly Petetit 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 Kimberly Petetit accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kimberly Petetit 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 Kimberly Petetit affiliated with any hospitals?
According to CMS data, Kimberly Petetit is affiliated with Asante Three Rivers Medical Center and Asante Rogue Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Kimberly Petetit was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Kimberly Petetit · NPI 1952290876
Family physician in Grants Pass, Oregon. Individual provider, active in the CMS NPPES registry since July 3, 2025.
## Identity
- **NPI:** 1952290876 (Entity type: Individual)
- **Enumerated:** July 3, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10047790 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 SW RAMSEY AVE, Grants Pass, OR 97527-5535
- **Phone:** (541) 472-7810
## 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 2025
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1952290876) · Data from the CMS NPPES public registry.