Nicole Petrosky, PA-C - Physician Assistant in Corte Madera, CA

Nicole Petrosky, PA-C is a Physician Assistant based in Corte Madera, California. Nicole Petrosky is licensed to practice in California (license number 54320) and her current practice location is 1716 Redwood Hwy # A025, Corte Madera, California. She can be reached at her office (for appointments etc.) via phone at (415) 532-3637.

NPI number for Nicole Petrosky is 1659256774 and her current mailing address is 4 Canterbury Ct, Petaluma, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659256774.

Contact Information

Nicole Petrosky, PA-C
1716 Redwood Hwy # A025,
Corte Madera, CA 94925-1249
(415) 532-3637
Not Available

Map and Direction




Provider's Profile

Full NameNicole Petrosky
GenderFemale
SpecialityPhysician Assistant
Location1716 Redwood Hwy # A025, Corte Madera, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659256774
  • Provider Enumeration Date: 08/07/2025
  • Last Update Date: 08/07/2025

Medical Identifiers

Medical identifiers for Nicole Petrosky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659256774NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 54320 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Petrosky is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Petrosky, PA-C
4 Canterbury Ct,
Petaluma, CA 94954-4675

Ph: (856) 776-9360
Nicole Petrosky, PA-C
1716 Redwood Hwy # A025,
Corte Madera, CA 94925-1249

Ph: (415) 532-3637

Reviews and Comments


Physician Assistant Nurses in Corte Madera, CA

Mrs. Anya Peysakhovich, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 21 Tamal Vista Blvd Ste 103, Corte Madera, CA 94925
Phone: 415-927-7660    Fax: 415-927-7663
Debra Beth Anziano, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 10 Paloma Dr, Corte Madera, CA 94925
Phone: 415-609-0015    Fax: 415-927-8145
Jan K Stottlemyer, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 101 Casa Buena Dr, Corte Madera, CA 94925
Phone: 561-635-0956    
Leeanne Obilor,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 200 Tamal Plz Ste 200, Corte Madera, CA 94925
Phone: 415-925-6900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.