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

MS. Kerri Ann Petitpain

Individual provider Family Nurse Practitioner · NPI 1760621304

MS. Kerri Ann Petitpain is a Nurse Practitioner in Manorville, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2002, 24 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2009

Practice location Address checks out

18 Scott Ln
Manorville, NY 11949-2624
Phone: (631) 905-6890
Fax: (888) 920-2296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 333951 (NY)

Record details

NPI number1760621304
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2009
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manorville