Phillip Petrasko
NPI 1558112714 · Student in an Organized Health Care Education/Training Program · Jacksonville, FL
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Petrasko is a Student in an Organized Health Care Education/Training Program provider in Jacksonville, FL (NPI 1558112714).
Provider details
- NPI number
- 1558112714
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-03-27
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Frequently asked questions
- What is Phillip Petrasko's NPI number?
- Phillip Petrasko's National Provider Identifier (NPI) is 1558112714, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Petrasko's specialty?
- Phillip Petrasko is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Phillip Petrasko located?
- Phillip Petrasko's practice location on file with NPPES is 653-1 W 8th St # L18, Jacksonville, FL 32209-6511.
- What is Phillip Petrasko's phone number?
- The practice phone number listed in the NPPES registry for Phillip Petrasko is (904) 244-3094.
- Does Phillip Petrasko accept Medicare?
- Phillip Petrasko is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillip Petrasko's NPI active?
- Yes — Phillip Petrasko's NPI (1558112714) is active in the NPPES registry as of the last update on 2024-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.