Individual provider Active NPI

Krista Leigh Petry, FNP

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1487118782
Registry record updated Jun 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343971 Issued in NY
Practice address
2901 E Lake Rd
Erie, PA 16511-1200
Phone
(814) 875-2034
Fax
(814) 875-3319
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343971 NY Primary

Addresses

Primary practice location

2901 E Lake Rd
Erie, PA 16511-1200

Mailing address

4720 Baker St
Lakewood, NY 14750-9772
Phone (716) 456-2149

Other practice location 1

4720 Baker St
Lakewood, NY 14750-9772
Phone (716) 456-2149

Other names 1

  • Krista Leigh Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190514001771 NY Practitioner - Nurse Practitioner 8921341991 Reassigns benefits to 2 organizations
I20250718003656 PA Practitioner - Nurse Practitioner 8921341991 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chautauqua County Chapter of Nysarc Inc CurrentSince Oct 29, 2020 Accepting new patients
Chautauqua Co. Chapter of Nysarc Inc Dba the Resource Center Current Accepting new patients
American Current Care P.a . CurrentSince Jun 23, 2025 Accepting new patients
Chautauqua County Chapter of Nysarc Inc. CurrentSince Oct 29, 2020 Accepting new patients
American Current Care PA Current Accepting new patients
Wellnow Urgent Care, PC CurrentSince Jun 15, 2019 Accepting new patients
Chautauqua County Chapter of Nysarc Inc Current Accepting new patients
American Current Care P.a. CurrentSince Jun 23, 2025 Accepting new patients

Locations

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

200 Dunham Ave
Jamestown, NY 14701
Phone (716) 661-1400

15 S Main St
Ste 270
Jamestown, NY 14701
Phone (716) 489-3144

890 E 2nd St
Jamestown, NY 14701
Phone (716) 661-1447

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

3010 W Lake Rd
Erie, PA 16505
Phone (814) 833-2022

2010 Levick St
Philadelphia, PA 19149
Phone (215) 537-4755

15 Freeport Rd
Ste 100
Pittsburgh, PA 15215
Phone (412) 784-1551

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: kristapetry@trc.allscriptsdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782000000000",
    "number": "1487118782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 BAKER ST",
            "city": "LAKEWOOD",
            "state": "NY",
            "postal_code": "147509772",
            "telephone_number": "716-456-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111200",
            "telephone_number": "814-875-2034",
            "fax_number": "814-875-3319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4720 Baker St",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NY",
            "postal_code": "147509772",
            "country_code": "US",
            "telephone_number": "716-456-2149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRY",
        "first_name": "KRISTA",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2026-06-21",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "JOHNSON",
            "middle_name": "LEIGH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.