Maria C. Petty, NURSE PRACTITIONER
NPI 1114204419ActiveIndividual· Nurse Practitioner, Primary Care· Willoughby, OH
Nurse Practitioner, Primary Care (NURSE PRACTITIONER) in Willoughby, Ohio, licensed in OH, CT and MA, with an NPI issued in November 2011. Part D covered 371 prescriptions written in 2024, 96% of them generic.
Overview
| NPI | 1114204419 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | No |
| NPI issued | Nov 15, 2011 |
| Last updated in NPPES | Jul 8, 2021 |
| Certified by provider | Jul 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | NP020610 | OH |
| Nurse Practitioner, Gerontology | 363LG0600X | 004979 | CT |
| Nurse Practitioner, Gerontology | 363LG0600X | RN2290435 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Nurse Practitioner (OH) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 371 · 913 30-day fills |
|---|---|
| Patients | 34 |
| Total drug cost | $2,926 |
| Generic share | 96% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other primary care nurse practitioners in Willoughby
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