Caitlin Amanda Petry, MSN, FNP-C - Medicare Nurse Practitioner in Saint Peters, MO

Caitlin Amanda Petry, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Saint Peters, Missouri. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hannibal Regional Healthcare System Inc and her current practice location is 400 Mid Rivers Mall Dr, Saint Peters, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 279-1516.

Caitlin Amanda Petry is licensed to practice in Missouri (license number 2019039233) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205303948.

Contact Information

Caitlin Amanda Petry, MSN, FNP-C
400 Mid Rivers Mall Dr,
Saint Peters, MO 63376-1577
(636) 279-1516
Not Available

Map and Direction




Provider's Profile

Full NameCaitlin Amanda Petry
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location400 Mid Rivers Mall Dr, Saint Peters, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Caitlin Amanda Petry graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1205303948
  • Provider Enumeration Date: 10/31/2018
  • Last Update Date: 11/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0143564005
  • Enrollment ID: I20181203003460

Medical Identifiers

Medical identifiers for Caitlin Amanda Petry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205303948NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209025210 (Illinois)Secondary
363L00000XNurse Practitioner 2018040229 (Missouri)Secondary
363LF0000XNurse Practitioner - Family 2019039233 (Missouri)Primary
207RN0300XInternal Medicine - Nephrology 2018040229 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hannibal Regional HospitalHannibal, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hannibal Regional Healthcare System Inc1254236300205

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Caitlin Amanda Petry allows following entities to bill medicare on her behalf.
Entity NameMidwest Nephrology Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528133535
PECOS PAC ID: 8224088802
Enrollment ID: O20050201000176
Entity NameHannibal Regional Healthcare System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134311392
PECOS PAC ID: 1254236300
Enrollment ID: O20071004000422
Entity NameGateway Kidney Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457991598
PECOS PAC ID: 2567899644
Enrollment ID: O20200302002002

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Caitlin Amanda Petry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Caitlin Amanda Petry, MSN, FNP-C
6500 Hospital Dr,
Hannibal, MO 63401-6890

Ph: (573) 629-3400
Caitlin Amanda Petry, MSN, FNP-C
400 Mid Rivers Mall Dr,
Saint Peters, MO 63376-1577

Ph: (636) 279-1516

Reviews and Comments


Nurse Practitioner Nurses in Saint Peters, MO

Carol Berger, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Attention Medical Staff Office, 10 Hospital Drive, Saint Peters, MO 63376
Phone: 314-317-0600    
Michelle L. Maloney, RN BC-ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 Hospital Dr, Ste 100, Saint Peters, MO 63376
Phone: 636-916-7272    Fax: 636-916-7274
Mrs. Chelsey Jo Becker, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 400 Mid Rivers Mall Dr, Saint Peters, MO 63376
Phone: 866-389-2727    
Mrs. Laura Ann Benack, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 150 Entrance Way, Saint Peters, MO 63376
Phone: 636-916-9920    Fax: 636-916-9176
Elizabeth Gordon, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4800 Mexico Rd, Suite 102, Saint Peters, MO 63376
Phone: 636-441-0067    Fax: 636-441-1062
Victoria J Vondrak, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5650 Mexico Rd Ste 2, Saint Peters, MO 63376
Phone: 636-875-1270    Fax: 636-875-1278
Ms. Jennifer Louise Keen, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6 Jungermann Cir, Suite 209, Saint Peters, MO 63376
Phone: 636-916-9080    Fax: 636-916-9332

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.