ELIZABETH A PETTEY (NP) – Nurse Practitioner, NPI 1013611425
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,303 NURSE PRACTITIONER in VA
Provider Addresses for ELIZABETH A PETTEY (NP)
1601 Ridgeview Rd
Jonesville, VA 242637813
Phone: (276) 832-1015
Type: Location
PO BOX 3889
JOHNSON CITY, TN 376023889
Phone: (423) 794-2457
Type: Mailing
301 MED TECH PKWY STE 240
JOHNSON CITY, TN 376042641
Phone: (423) 794-5520
Fax: (423) 282-6940
Type: Location
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: 2023-06-09
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 |
|---|---|---|---|---|
| I20230609000135 | I | Nurse Practitioner | TN | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 38 | 36 | $0 |
Insurance plans in this area (ZIP 24263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| - | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology | TN | |
| - | TN | |
| - | TN | |
| - | TN |
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