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Kerri Ann Petitpain

NPI 1760621304ActiveIndividual· Nurse Practitioner, Family· Manorville, NY

Nurse Practitioner, Family in Manorville, New York, trained at State University of New York at Stony Brook, School of Medicine (class of 2002). Their prescriptions cost Medicare Part D more than their services did: $176,188 for 3,931 claims, against $95,464 paid for services in 2024.

Overview

NPI1760621304
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedFeb 4, 2009
Last updated in NPPESApr 2, 2020
Certified by providerApr 2, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Family Primary363LF0000X333951NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients110
Services billed1,087 across 9 procedure codes
Paid by Medicare$95,464

Part D prescriptions in 2024

Prescriptions (claims)3,931 · 4,266 30-day fills
Patients111
Total drug cost$176,188
Generic share91% of claims

Medicare sources and data years

Education and affiliations

Medical schoolState University of New York at Stony Brook, School of Medicine
Graduation year2002
Medicare specialtyNurse Practitioner

Other facilities

Source: CMS Care Compare

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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