Kerri Petitpain Medical
NPI 1184253262ActiveOrganization· Nurse Practitioner, Family· Manorville, NY
Nurse Practitioner, Family in Manorville, New York, registered in NPPES in April 2020. The authorized official on file is Kerri Ann Petitpain, DNP-C, Practitioner/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184253262 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 2, 2020 |
| Last updated in NPPES | Apr 2, 2020 |
| Certified by provider | Apr 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
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