CHARLOTTE PETIN PA-C
NPI 1962059865
Physician Assistant in Mesa, AZ

Q: What is Charlotte Petin's NPI number?

The NPI number for Charlotte Petin is 1962059865. It was assigned to this individual provider in the NPPES registry on August 25, 2019.

Q: What is Charlotte Petin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Charlotte Petin was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 August 25, 2019PECOS EnrolledAccepts Medicare Assignment

1500 S DOBSON RD STE 202, MESA, AZ 85202(866) 974-2673 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Aug 11, 2025, Aug 7, 2025 and 2 more (5 updates tracked since 2019).

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About Charlotte Petin Pa-c NPPES

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

CHARLOTTE PETIN PA-C (NPI 1962059865) is an individual physician assistant in Mesa, Arizona, licensed in Arizona (7606) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962059865

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCHARLOTTE PETINCredential: PA-C

Location Address1500 S DOBSON RD STE 202Mesa, AZ 85202-4724

Mailing Address18444 N 25th Ave Ste 210Phoenix, AZ 85023-1264 · (866) 824-2673 · Fax (855) 650-7725

Phone(866) 974-2673

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 25, 2019

Last NPPES UpdateNovember 4, 20255 updates tracked since enumeration

NPPES CertifiedNovember 4, 2025

✔ NPI 1962059865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 7606

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1500 S DOBSON RD STE 202, Mesa, AZ 85202

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Secondary Practice Locations 3

Location 11500 S Dobson Rd Ste 200Mesa, AZ 85202-4724 · Phone (866) 974-2673

Location 218444 N 25th Ave Ste 210Phoenix, AZ 85023-1264 · Phone (866) 974-2673

Location 314520 W Granite Valley Dr Ste 210Sun City West, AZ 85375-5855 · Phone (866) 974-2673

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona 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

Charlotte Petin Pa-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.

PECOS PAC ID3375970932

PECOS Enrollment IDI20200221000582

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

76 services75 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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.

AMALIA M DE COMAS MD

Orthopaedic Surgery