What is Shane Pettis's NPI number?

Shane Pettis's National Provider Identifier (NPI) is 1386214807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Pettis's specialty?

Shane Pettis is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).

Where is Shane Pettis located?

Shane Pettis's practice location on file with NPPES is 1412 Sweet Home Rd Ste 3-5, Amherst, NY 14228-2795.

What is Shane Pettis's phone number?

The practice phone number listed in the NPPES registry for Shane Pettis is (716) 589-1411.

Is Shane Pettis's NPI active?

Yes — Shane Pettis's NPI (1386214807) is active in the NPPES registry as of the last update on 2021-06-28.

IndividualActive

Shane Pettis

NPI 1386214807 · Peer Specialist · Amherst, NY

Shane Pettis is a Peer Specialist provider in Amherst, NY (NPI 1386214807).

Provider details

NPI number: 1386214807
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Peer SpecialistPrimary175T00000X
Other Service Providers

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1412 Sweet Home Rd Ste 3-5

Amherst, NY 14228-2795

Phone: (716) 589-1411

Fax: (716) 276-3051

Street-level locationGet directions

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Mailing address