ELISSA PETTINATO PA-C
NPI 1962936336
Physician Assistant - Medical in Philadelphia, PA

Q: What is Elissa Pettinato's NPI number?

The NPI number for Elissa Pettinato is 1962936336. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Q: What is Elissa Pettinato's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Elissa Pettinato was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment

561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128(800) 235-0200 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Elissa Pettinato Pa-c NPPES

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

ELISSA PETTINATO PA-C (NPI 1962936336) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA058812) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1962936336

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameELISSA PETTINATOCredential: PA-C

Location Address561 FAIRTHORNE AVEPhiladelphia, PA 19128-2412

Mailing Address5443 Houghton Pl, Apt. 1Philadelphia, PA 19128-2816 · (814) 227-8403

Phone(800) 235-0200

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 12, 2017

✔ NPI 1962936336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA058812

Also ListedPhysician AssistantTaxonomy 363A00000X · License OA004035 (PA), 25MP00429700 (NJ)

561 FAIRTHORNE AVE, Philadelphia, PA 19128

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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

Elissa Pettinato 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 ID7012284441

PECOS Enrollment IDI20170606001330

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

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

14 services14 patients

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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.

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