CATHY PETTIS (DNP, APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1497415277

CATHY PETTIS (DNP, APRN, PMHNP-BC) is a healthcare provider. based in Little rock, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, PMHNP-BC. They hold a License No. 218452 (AR). The NPI Number for CATHY PETTIS (DNP, APRN, PMHNP-BC) is 1497415277

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
CATHY PETTIS (DNP, APRN, PMHNP-BC)
NPI
1497415277
Phone
(501) 920-3883
Address
2720 CENTER ST
Enumeration Date
21 December 2021
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
1951794411
Group Practice PAC ID
0244648764
Professional Enrollment ID
I20230224002651
Address ID
AR720589450GR351XXNXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for CATHY PETTIS (DNP, APRN, PMHNP-BC)

  • 2720 CENTER ST

    LITTLE ROCK, AR 722063126

    Phone: (501) 920-3883

    Fax: (501) 916-9449

    Type: Mailing

  • 2012 HIGHWAY 62 412

    HIGHLAND, AR 725429477

    Phone: (870) 856-3337

    Fax: (870) 856-3334

    Type: Location

  • 8 S BROADVIEW ST., STE E & F

    GREENBRIER, AR 720589601

    Phone: (501) 679-0232

    Fax: (833) 373-0348

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $196.

Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($117).

Total Amount

$196

General + Research + Ownership

Payments

2

Total payment records

General Amount

$196

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230224002651INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72206)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244648764View full group profile
NameSpecialtyState
Mental Health CounselorAR
Mental Health CounselorAR
Nurse PractitionerAR
Clinical Social WorkerAR
Clinical Social WorkerAR
Clinical Social WorkerAR
Nurse PractitionerAR
Clinical Social WorkerAR
Mental Health CounselorAR
Clinical Social WorkerAR

Reviews

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Frequently asked questions

Can I verify CATHY PETTIS (DNP, APRN, PMHNP-BC) with an NPI only?
You can start verification with NPI 1497415277 for CATHY PETTIS (DNP, APRN, PMHNP-BC), then check state licensing separately.
Is CATHY PETTIS (DNP, APRN, PMHNP-BC) still practicing?
CATHY PETTIS (DNP, APRN, PMHNP-BC) is currently listed as active in the public NPI registry.
What taxonomy line describes CATHY PETTIS (DNP, APRN, PMHNP-BC)?
For research purposes, treat CATHY PETTIS (DNP, APRN, PMHNP-BC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is CATHY PETTIS (DNP, APRN, PMHNP-BC) based?
CATHY PETTIS (DNP, APRN, PMHNP-BC) is tied to Little Rock, Arkansas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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