Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Analisa Pettus, PA

Individual provider Physician Assistant · NPI 1174658991

Analisa Pettus, PA is a Physician Assistant in Bronx, New York. Qualified in 2006, 20 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone: (718) 918-3060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27005 76th Ave, New Hyde Park, NY 11040-1402 — (718) 470-7000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011513-1 (NY)

Record details

NPI number1174658991
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 22, 2007
Last updated in NPPESFebruary 11, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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