Cathy Nicole Pettis, APRN, PMHNP-BC - Medicare Nurse Practitioner in Jonesboro, AR

Cathy Nicole Pettis, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jonesboro, Arkansas. Her current practice location is 1813 Executive Sq, Jonesboro, Arkansas. You can reach out to her office (for appointments etc.) via phone at (870) 899-0884.

Cathy Nicole Pettis is licensed to practice in Arkansas (license number 218452) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1497415277.

Contact Information

Cathy Nicole Pettis, APRN, PMHNP-BC
1813 Executive Sq,
Jonesboro, AR 72401-6086
(870) 899-0884
(870) 587-1514

Map and Direction




Provider's Profile

Full NameCathy Nicole Pettis
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1813 Executive Sq, Jonesboro, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497415277
  • Provider Enumeration Date: 12/21/2021
  • Last Update Date: 12/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1951794411
  • Enrollment ID: I20230224002651

Medical Identifiers

Medical identifiers for Cathy Nicole Pettis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497415277NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 218452 (Arkansas)Primary

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. Cathy Nicole Pettis allows following entities to bill medicare on her behalf.
Entity NameHeal Within Counseling And Consulting Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982290763
PECOS PAC ID: 0244648764
Enrollment ID: O20210422001742
Entity NameHarmony Road Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124747746
PECOS PAC ID: 8628444296
Enrollment ID: O20221024000083

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. Cathy Nicole Pettis 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
Cathy Nicole Pettis, APRN, PMHNP-BC
2720 Center St,
Little Rock, AR 72206-3126

Ph: (501) 920-3883
Cathy Nicole Pettis, APRN, PMHNP-BC
1813 Executive Sq,
Jonesboro, AR 72401-6086

Ph: (870) 899-0884

Reviews and Comments


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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.

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