CHRISTINE A PETRUZZO (NP) – Nurse Practitioner, NPI 1831174440

CHRISTINE A PETRUZZO (NP) is a healthcare provider. based in Brockton, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 211695 (MA). The NPI Number for CHRISTINE A PETRUZZO (NP) is 1831174440

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE A PETRUZZO (NP)
NPI
1831174440
Phone
(508) 894-0400
Address
110 LIBERTY STREET
Enumeration Date
7 December 2005
Last Update Date
15 December 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
5085867400
Graduation Year
2003 (23 years ago)
PAC ID
7810981099
Group Practice PAC ID
7719876267
Professional Enrollment ID
I20040412000535
Address ID
MA023022803BR178XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for CHRISTINE A PETRUZZO (NP)

  • 110, Liberty Street, Marshall Corner, Brockton, Plymouth County, Massachusetts, 02357, United States

    BROCKTON, MA 023015521

    Phone: (508) 894-0400

    Fax: (508) 894-0523

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2023-07-25 • Largest payer in this snapshot: Mylan Specialty L.P. ($105).

Total Amount

$105

General + Research + Ownership

Payments

1

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mylan Specialty L.P.$105
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: 2004-04-12

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
I20040412000535INurse PractitionerMATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,824294$0
99315Nursing facility discharge day management, 30 minutes or less2321$0
99443Telephone medical discussion with physician, 21-30 minutes2218$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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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: 7719876267View full group profile
NameSpecialtyState
-MA
General SurgeryIL
E N D O C R I N O L O G YMI
-CA
Internal MedicineMA
-NY
O B S T E T R I C S/ G Y N E C O L O G YMA
-MA
Orthopedic SurgeryMA
-NY

Reviews

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Frequently asked questions

Can I verify CHRISTINE A PETRUZZO (NP) with an NPI only?
You can start verification with NPI 1831174440 for CHRISTINE A PETRUZZO (NP), then check state licensing separately.
Is CHRISTINE A PETRUZZO (NP) listed as active for patients and plans?
The listing shows CHRISTINE A PETRUZZO (NP) as active in the NPI system.
What is CHRISTINE A PETRUZZO (NP)'s primary classification?
Nurse Practitioner is the headline specialty for CHRISTINE A PETRUZZO (NP) here. Clinical services aligned with this taxonomy classification.
What area does CHRISTINE A PETRUZZO (NP) serve?
CHRISTINE A PETRUZZO (NP)'s listing highlights Brockton, Massachusetts; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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