ELIZABETH KAYE PETITT (FNP) – Family Nurse Practitioner, NPI 1104087295
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 ELIZABETH KAYE PETITT (FNP)
4419 CRENSHAW RD
PASADENA, TX 775043628
Phone: (281) 991-5944
Fax: (281) 991-6129
Type: Mailing
301 UNIVERSITY BLVD
GALVESTON, TX 775555302
Phone: (409) 772-2222
Type: Mailing
11914 Astoria Blvd Ste 570
Houston, TX 770896079
Phone: (281) 481-0033
Type: Location
PO BOX 650859
DEPT 710
DALLAS, TX 752655302
Phone: (409) 747-6240
Type: Mailing
6710 STEWART RD STE 100
GALVESTON, TX 775512216
Phone: (409) 744-4030
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 157 Open Payments records for all available years, with a total value of $3,859.
Total Amount is formed as General ($3,859) + Research ($0) + Ownership ($0) = $3,859.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($605).
Total Amount
$3,859
General + Research + Ownership
Payments
157
Total payment records
General Amount
$3,859
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $605 |
| Novartis Pharmaceuticals Corporation | $551 |
| Incyte Corporation | $337 |
| Lilly USA, LLC | $319 |
| Janssen Biotech, Inc. | $304 |
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: 2008-08-05
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 |
|---|---|---|---|---|
| I20080805000666 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 272 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 82 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 71 | 59 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 55 | 55 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 46 | 43 | $0 |
Insurance plans in this area (ZIP 77504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| D E R M A T O L O G Y | TX | |
| Pathology, Dermatology | TX | |
| D E R M A T O L O G Y | TX |
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