Mrs Regina D Petty, MSN, APRN, PMHNP - Medicare Nurse Practitioner in Jacksonville, FL

  1. Home
  2. Nurse Practitioner
  3. FL
  4. Jacksonville
Mrs Regina D Petty, MSN, APRN, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jacksonville, Florida. Her current practice location is 15462 Spotted Stallion Trl, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 328-0571.

Mrs Regina D Petty is licensed to practice in Florida (license number APRN11018524) 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 1669092888.

Contact Information

Mrs Regina D Petty, MSN, APRN, PMHNP
15462 Spotted Stallion Trl,
Jacksonville, FL 32234-2398
(352) 328-0571
Not Available

Map and Direction




Provider's Profile

Full NameMrs Regina D Petty
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location15462 Spotted Stallion Trl, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669092888
  • Provider Enumeration Date: 04/17/2020
  • Last Update Date: 06/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2961883756
  • Enrollment ID: I20220726001316

Medical Identifiers

Medical identifiers for Mrs Regina D Petty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669092888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN9339167 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APRN11018524 (Florida)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. Mrs Regina D Petty allows following entities to bill medicare on her behalf.
Entity NameFlorida Counseling Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821584202
PECOS PAC ID: 0840544789
Enrollment ID: O20181113002093
Entity NameMy Choice Operating Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174112007
PECOS PAC ID: 3779991542
Enrollment ID: O20210415000680
Entity NameMobile Medical Operating Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245983022
PECOS PAC ID: 1456747625
Enrollment ID: O20220415001415

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 Regina D Petty 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
Mrs Regina D Petty, MSN, APRN, PMHNP
15462 Spotted Stallion Trl,
Jacksonville, FL 32234-2398

Ph: (352) 328-0571		Mrs Regina D Petty, MSN, APRN, PMHNP
15462 Spotted Stallion Trl,
Jacksonville, FL 32234-2398

Ph: (352) 328-0571

Reviews and Comments


Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246
Phone: 904-997-9844    Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216
Phone: 904-493-3390    Fax: 904-493-3395
Xenia T Blount, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Jessica Pelkowski, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Shannon Kathleen Burns, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Christy Mcewen,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207
Phone: 904-398-0125    Fax: 904-389-1832
Danielle Harper Key, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210
Phone: 904-346-0050    Fax: 904-346-0080

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.