Mrs Johanna Christine Pettrey, FNP-BC in Portales, NM

Mrs Johanna Christine Pettrey, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Portales, New Mexico. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice La Casa De Buena Salud Inc and her current practice location is 1515 W Fir St, Portales, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 356-6695.

Mrs Johanna Christine Pettrey is licensed to practice in New Mexico (license number CNP01151) 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 1265413447.

Contact Information

	Mrs Johanna Christine Pettrey, FNP-BC
	1515 W Fir St, Portales, NM 88130-5703
	(575) 356-6695
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Johanna Christine Pettrey
Gender	Female
Speciality	Nurse Practitioner
Experience	24 Years
Location	1515 W Fir St, Portales, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Johanna Christine Pettrey graduated from nursing school in 2000

NPI Data:

NPI Number: 1265413447
Provider Enumeration Date: 11/07/2005
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 9436208972
Enrollment ID: I20090513000022

Medical Identifiers

Medical identifiers for Mrs Johanna Christine Pettrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265413447	NPI	-	NPPES
G7157	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R47083 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	0001144582 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	CNP01151 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Interim Healthcare Of Portales	Portales, NM	Home health agency
Roosevelt General Hospital	Portales, NM	Hospital
Plains Regional Medical Center	Clovis, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
La Casa De Buena Salud Inc	9234032939	6

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. Mrs Johanna Christine Pettrey allows following entities to bill medicare on her behalf.

Entity Name	La Casa De Buena Salud Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972603165 PECOS PAC ID: 9234032939 Enrollment ID: O20040129001141

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. Mrs Johanna Christine Pettrey 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 Address	Practice Location Address
Mrs Johanna Christine Pettrey, FNP-BC 912 W 21st St, Clovis, NM 88101-4154 Ph: (575) 935-9000	Mrs Johanna Christine Pettrey, FNP-BC 1515 W Fir St, Portales, NM 88130-5703 Ph: (575) 356-6695

Reviews and Comments

Nurse Practitioner Nurses in Portales, NM

Mrs. Shanna Lee Campbell, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42121 Us Highway 70, Portales, NM 88130 Phone: 575-356-6652
Lindsay Young, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Highway 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827
Teresa Claire Evan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1515 W Fir St, Portales, NM 88130 Phone: 575-356-6695 Fax: 575-356-5948
Kerri Renee Self, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 W 4th St, Portales, NM 88130 Phone: 575-226-3898 Fax: 575-226-3890
Eva F Toelle, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827
Sylvia Anne Rife, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-226-0099

Mrs Johanna Christine Pettrey, FNP-BC - Medicare Nurse Practitioner in Portales, NM