NOELLE PETRI (APRN) – Family Nurse Practitioner, NPI 1073062931
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for NOELLE PETRI (APRN)
115 PARK PLACE BLVD STE 100
WAXAHACHIE, TX 751659210
Phone: (463) 466-6524
Fax: (866) 816-0795
Type: Mailing
CVS, 111, Auburn Street, North Deering, Portland, Cumberland County, Maine, 04103, United States
PORTLAND, ME 04103
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $557.
Total Amount is formed as General ($557) + Research ($0) + Ownership ($0) = $557.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: UCB, Inc. ($92).
Total Amount
$557
General + Research + Ownership
Payments
24
Total payment records
General Amount
$557
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UCB, Inc. | $92 |
| ABBVIE INC. | $88 |
| Amneal Pharmaceuticals LLC | $57 |
| SK Life Science, Inc. | $57 |
| ANI Pharmaceuticals, Inc. | $56 |
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: 2017-10-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171019001993 | I | Nurse Practitioner | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75165)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| N E U R O L O G Y | TX | |
| Nurse Practitioner | TX | |
| N E U R O L O G Y | PA | |
| Nurse Practitioner | TX | |
| Neurology, Psychiatry | TX | |
| N E U R O L O G Y | WA | |
| N E U R O L O G Y | TX |
Reviews
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