Kally Ann Petka, FNP
NPI 1548892326ActiveIndividual· Nurse Practitioner, Family· Southbridge, MA
Nurse Practitioner, Family (FNP) in Southbridge, Massachusetts, licensed in MA, with an NPI issued in February 2020. Enrolled in Medicare as practitioner - nurse practitioner.
Overview
| NPI | 1548892326 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Feb 10, 2020 |
| Last updated in NPPES | Jan 30, 2025 |
| Certified by provider | Jan 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN2277628 | MA |
| Nurse Practitioner | 363L00000X | RN2277628 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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