Lisa Petrella, FNP-C
NPI 1902628555 · Family Nurse Practitioner · Freeville, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Petrella, FNP-C is a Family Nurse Practitioner provider in Freeville, NY (NPI 1902628555).
Provider details
- NPI number
- 1902628555
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 354427 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
- 2024-10-25
- Last updated
- 2024-10-25
- Certified
- 2024-10-25
Frequently asked questions
- What is Lisa Petrella's NPI number?
- Lisa Petrella's National Provider Identifier (NPI) is 1902628555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Petrella's specialty?
- Lisa Petrella is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lisa Petrella located?
- Lisa Petrella's practice location on file with NPPES is 410 Ferguson Rd, Freeville, NY 13068-5635.
- What is Lisa Petrella's phone number?
- The practice phone number listed in the NPPES registry for Lisa Petrella is (315) 480-8664.
- Does Lisa Petrella accept Medicare?
- Lisa Petrella is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Petrella's NPI active?
- Yes — Lisa Petrella's NPI (1902628555) is active in the NPPES registry as of the last update on 2024-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.