Rhonda S Pettitt, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

111230 Issued in NE

Practice address

100 W Norfolk Ave
Norfolk, NE 68701-5340

Phone

(402) 379-0122

NPI assigned

Jul 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

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 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Faith Health Hospital, Norfolk, NE, CCN 280125
• Stanton Health Center Nursing home, Stanton, NE, CCN 285102

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rhonda.pettitt.1@16293.direct.athenahealth.com

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

• Pettitt Behavioral Health, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Norfolk, NE
  • NPI 1396104618
  Medicare reassignment NPD Authorized official
• State of Nebraska Dept of Admin Services

  • Skilled Nursing Facility
  • Kearney, NE
  • NPI 1790706034
  Medicare reassignment NPD
• State of Nebraska Dept of Admin Services

  • Intellectual Disabilities Intermediate Care Facility
  • Beatrice, NE
  • NPI 1114085826
  NPD
• State of Nebraska Dept of Admin Services

  • Skilled Nursing Facility
  • Norfolk, NE
  • NPI 1801993001
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• City of Stanton Nursing Home

  • Skilled Nursing Facility
  • Stanton, NE
  • NPI 1295760361

  Nursing home

  Care Compare affiliation
• Faith Regional Health Services

  • General Acute Care Hospital
  • Norfolk, NE
  • NPI 1285676544
  Care Compare affiliation

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1558617381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015340",
            "telephone_number": "402-379-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015340",
            "telephone_number": "402-379-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTITT",
        "first_name": "RHONDA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NE",
            "license": "111230",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorissa Peterson
• Natasha Peterson
• Mary Kathryn Petta, APRN-CNS
• William J Petta, DDS
• Pettitt Behavioral Health, LLC
• Jessica Leigh Peyregne, PLMHP
• Jennifer Marie Pfaff
• Alison Erin Pfeifer, PTA
• Kayla Sue Pfeifer, B.S.
• Samantha Phelps

• Psychiatric/Mental Health Nurse Practitioner in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.