MRS. MISTY C PETRAS FNP NPI 1912341470

NPI Information

  • NPI: 1912341470
  • Provider Name: MRS. MISTY C PETRAS, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 102 ASTOR ST
    WELLFORD, SC
    ZIP 29385
  • Phone: (864) 439-5338

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NPI Details

MRS. Misty C Petras, FNP is a family nurse practitioner in Wellford, SC with 8 years of experience. MRS. Misty C Petras, FNP NPI is 1912341470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

102 ASTOR ST
WELLFORD, SC
ZIP 29385
Phone: (864) 439-5338

The NPI 1912341470 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 office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Hemoglobin a1c level (HCPCS:83036)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 4/26/2013 and was last updated on 11/12/2019.

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
1163W00000XRegistered Nurse106862SOUTH CAROLINANo
2163WC0200XRegistered NurseCritical Care Medicine106862SOUTH CAROLINANo
3163WS0200XRegistered NurseSchool106862SOUTH CAROLINANo
4363LF0000XNurse PractitionerFamily21997SOUTH CAROLINAYes

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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