CAITLIN AMANDA PETRY (MSN, FNP-C) – Family Nurse Practitioner, NPI 1205303948
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for CAITLIN AMANDA PETRY (MSN, FNP-C)
70, Jungermann Circle, Saint Peters, Saint Charles County, Missouri, 63376, United States
SAINT PETERS, MO 633761622
Phone: (636) 720-0310
Fax: (636) 720-0311
Type: Mailing
3650 Stardust Dr
Hannibal, MO 634012411
Phone: (573) 231-0660
Fax: (573) 231-0687
Type: Location
400 S Center St
Shelbina, MO 634681404
Phone: (573) 588-4131
Fax: (573) 588-4876
Type: Location
821 Business Hwy 24 West
Monroe City, MO 63456
Phone: (573) 735-2506
Fax: (573) 735-1083
Type: Location
1802 Elm St
Canton, MO 634351694
Phone: (573) 288-5360
Fax: (573) 288-5361
Type: Location
6500 Hospital Dr
Hannibal, MO 634016890
Phone: (573) 629-3400
Fax: (573) 629-3314
Type: Location
211 S 3rd St
Louisiana, MO 633532000
Phone: (573) 754-5555
Fax: (573) 754-5932
Type: Location
400 MID RIVERS MALL DR
SAINT PETERS, MO 633761577
Phone: (636) 279-1516
Fax: (401) 799-5849
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2018-12-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181203003460 | I | Nurse Practitioner | MO | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 111 | 101 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 87 | $0 |
| 81002 | Urinalysis, manual test | 24 | 23 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 17 | 16 | $0 |
Insurance plans in this area (ZIP 63376)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | FL | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Nurse Practitioner | MO |
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