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

Rebecca Susan Pettibone, NP

Individual provider Nurse Practitioner · NPI 1205574316

Rebecca Susan Pettibone, NP is a Nurse Practitioner in Elmira, New York. Qualified in 2021, 5 years ago. Practices with Arnot Ogden Medical Center, a 217-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

555 Saint Josephs Blvd Ste M2
Elmira, NY 14901-3223
Phone: (607) 734-7121
Fax: (607) 734-0614
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 310746 (NY)

Record details

NPI number1205574316
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 27, 2022
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Arnot Ogden Medical Center — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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