MS. KERRI ANN PETITPAIN NPI 1760621304

NPI Information

  • NPI: 1760621304
  • Provider Name: MS. KERRI ANN PETITPAIN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 18 SCOTT LN
    MANORVILLE, NY
    ZIP 11949
  • Phone: (631) 905-6890

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NPI Details

MS. Kerri Ann Petitpain is a family nurse practitioner in Manorville, NY with 24 years of experience. MS. Kerri Ann Petitpain NPI is 1760621304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

18 SCOTT LN
MANORVILLE, NY
ZIP 11949-624
Phone: (631) 905-6890
Fax: (888) 920-2296

The NPI 1760621304 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • New patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99327)
  • New patient custodial care facility, group care, or assisted living visit, typically 75 minutes (HCPCS:99328)

The enumeration date for this NPI number is 2/4/2009 and was last updated on 4/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily333951NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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