MRS. CHRISTIANE MARIE PETRILLO (PA-C) – Physician Assistant, NPI 1912128653

MRS. CHRISTIANE MARIE PETRILLO (PA-C) is a healthcare provider. based in Belfast, Maine. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA003327L (PA). The NPI Number for MRS. CHRISTIANE MARIE PETRILLO (PA-C) is 1912128653

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CHRISTIANE MARIE PETRILLO (PA-C)
NPI
1912128653
Phone
Not provided
Address
PO BOX 34990
Enumeration Date
1 May 2007
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6105247251
Graduation Year
2000 (26 years ago)
PAC ID
5193956381
Group Practice PAC ID
5890681092
Professional Enrollment ID
I20140402000249
Address ID
PA193412567EX491XXWAYX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,689 PHYSICIAN ASSISTANT in PA

Provider Addresses for MRS. CHRISTIANE MARIE PETRILLO (PA-C)

  • PO BOX 34990

    BELFAST, ME 049150627

    Phone:

    Type: Mailing

  • 266 LANCASTER AVE

    MALVERN, PA 193553256

    Phone: (610) 644-6900

    Fax: (610) 644-7160

    Type: Location

  • 102 LONGWOOD CT

    MALVERN, PA 193558509

    Phone: (610) 647-9773

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $428.

Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: IBSA Pharma Inc. ($72).

Total Amount

$428

General + Research + Ownership

Payments

16

Total payment records

General Amount

$428

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

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: 2014-04-02

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
I20140402000249IPhysician AssistantPATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4141$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg2613$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
20610Aspiration and/or injection of fluid from large joint1614$0
View full utilization report →

Insurance plans in this area (ZIP 04915)

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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: 5890681092View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Diagnostic RadiologyIN
-PA
-PA
Physical Therapist In Private PracticePA
Orthopedic SurgeryPA
Occupational Therapist In Private PracticeME
-PA
-PA
-PA

Reviews

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Frequently asked questions

How is MRS. CHRISTIANE MARIE PETRILLO (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. CHRISTIANE MARIE PETRILLO (PA-C) with NPI 1912128653.
Is MRS. CHRISTIANE MARIE PETRILLO (PA-C) listed as active for patients and plans?
The listing shows MRS. CHRISTIANE MARIE PETRILLO (PA-C) as active in the NPI system.
What is MRS. CHRISTIANE MARIE PETRILLO (PA-C) best known for clinically?
Directory data describes MRS. CHRISTIANE MARIE PETRILLO (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. CHRISTIANE MARIE PETRILLO (PA-C) on a map?
Expect Belfast, Maine as a primary anchor for MRS. CHRISTIANE MARIE PETRILLO (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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