John H. Petrisko, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

MD-53555 Issued in IA

Practice address

1215 Duff Ave
Ames, IA 50010-5469

Phone

(515) 239-4496

NPI assigned

Aug 19, 2006

Last updated

Sep 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT, IA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Preventive Medicine

Education

Medical College of Ohio, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jpetrisko@billingsclinic.cernerdirect.com
• Direct secure messaging: jpetrisko116871@directmcfarlandclinic.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• McFarland Clinic PC

  • Multi-Specialty Clinic/Center
  • Ames, IA
  • NPI 1639135643
  Medicare reassignment Care Compare group NPD
• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment NPD
• Billings Clinic

  dba Billings Clinic Hospital

  • General Acute Care Hospital
  • Billings, MT
  • NPI 1265478291
  NPD
• Billings Clinic

  • General Practice Physician
  • Billings, MT
  • NPI 1376598714
  NPD
• Billings Clinic

  • Pediatrics Physician
  • Bozeman, MT
  • NPI 1902340821
  NPD
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1083728448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105469",
            "telephone_number": "515-239-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105469",
            "telephone_number": "515-239-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRISKO",
        "first_name": "JOHN",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IA",
            "license": "MD-53555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpetrisko116871@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1215 Duff Ave",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500105469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristy Huynh Perrin, MD
• Trevor Peters, D.C.
• Lily Elizabeth Peterson-Williby, LISW
• Lisa Peterson
• Tristin Peterson
• Daniele Petty, MS, ATC, CES
• Mary Jo Pfeifer, LMHC
• Jessica Paola Pfeiffer, LCSW
• Alena Pham
• Phipps Family Therapy

• Occupational Medicine Physician in Ames, IA
• Providers in Ames, IA by specialty
• Occupational Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.