AMY M. PETRILLO (C.N.P.) – Family Nurse Practitioner, NPI 1174874846

AMY M. PETRILLO (C.N.P.) is a healthcare provider. based in Louisville, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials C.N.P.. They hold a License No. COA 13890-NP (OH). The NPI Number for AMY M. PETRILLO (C.N.P.) is 1174874846

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
AMY M. PETRILLO (C.N.P.)
NPI
1174874846
Phone
(330) 875-5544
Address
1302 W MAIN ST
Enumeration Date
21 September 2012
Last Update Date
21 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304540350
Graduation Year
2012 (14 years ago)
PAC ID
1153571617
Group Practice PAC ID
3476643479
Professional Enrollment ID
I20121019000030
Address ID
OH447084699CA2600XWXXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for AMY M. PETRILLO (C.N.P.)

  • 1302 W MAIN ST

    STE. A

    LOUISVILLE, OH 446411114

    Phone: (330) 875-5544

    Fax: (330) 875-8150

    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 43 Open Payments records for all available years, with a total value of $742.

Total Amount is formed as General ($742) + Research ($0) + Ownership ($0) = $742.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: ABBVIE INC. ($266).

Total Amount

$742

General + Research + Ownership

Payments

43

Total payment records

General Amount

$742

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2012-10-19

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
I20121019000030INurse PractitionerOHTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4934$0
99213Established patient office or other outpatient visit, 20-29 minutes3327$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2626$0
View full utilization report →

Insurance plans in this area (ZIP 44641)

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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: 3476643479View full group profile
NameSpecialtyState
Orthopedic SurgeryOH
General SurgeryOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Radiation OncologyCA
U R O L O G YGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMY M. PETRILLO (C.N.P.)?
AMY M. PETRILLO (C.N.P.) — NPI 1174874846 — is the standard way to identify this listing.
Is AMY M. PETRILLO (C.N.P.) listed as active for patients and plans?
The listing shows AMY M. PETRILLO (C.N.P.) as active in the NPI system.
What healthcare role does AMY M. PETRILLO (C.N.P.) hold?
Scheduling teams often label AMY M. PETRILLO (C.N.P.) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does AMY M. PETRILLO (C.N.P.) serve?
AMY M. PETRILLO (C.N.P.)'s listing highlights Louisville, Ohio; 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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