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

Kimberly Petetit

Individual provider Family Nurse Practitioner · NPI 1952290876

Kimberly Petetit is a Nurse Practitioner in Grants Pass, Oregon. Qualified in 2025, 1 year ago. Practices with Asante Physician Partners, a 225-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
1
Licensed in
OR
In the registry since
2025
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Practice location Address checks out

520 SW Ramsey Ave
Grants Pass, OR 97527-5535
Phone: (541) 472-7810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10047790 (OR)

Record details

NPI number1952290876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2025
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address520 Sw Ramsey Ave, Grants Pass, OR 97527-5535

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Asante Physician Partners — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grants Pass