KATHERINE LEE PETKOVICH DNP, RN, CPNP-PC
NPI 1841968898
Nurse Practitioner - Pediatrics in Mesa, AZ

Active since September 03, 2021
2017 E ADOBE ST, MESA, AZ 85213(480) 244-5373 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2025, May 28, 2025 (2 updates tracked since 2025).

About Katherine Lee Petkovich Dnp, Rn, Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE LEE PETKOVICH DNP, RN, CPNP-PC (NPI 1841968898) is an individual pediatrics provider in Mesa, Arizona, licensed in Arizona (323837) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1841968898
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHERINE LEE PETKOVICHCredential: DNP, RN, CPNP-PC
Location Address2017 E ADOBE STMesa, AZ 85213-6740
Mailing Address2017 E Adobe StMesa, AZ 85213-6740
Sole ProprietorNo
Enumeration DateSeptember 3, 2021
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
NPI 1841968898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in AZ · 323837
Also ListedRegistered NurseTaxonomy 163W00000X · License RN215094 (AZ)
2017 E ADOBE ST, Mesa, AZ 85213

Accepted Insurance

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
2017 E ADOBE ST
MESA, AZ 85213
Case Management
2017 E ADOBE ST
MESA, AZ 85213
Pediatrics
2017 E ADOBE ST
MESA, AZ 85213
Registered Nurse (Administrator)
2017 E ADOBE ST
MESA, AZ 85213
Pediatrics
2017 E ADOBE ST
MESA, AZ 85213
Dentist
2017 E ADOBE ST, SUITE 6
MESA, AZ 85213
In Home Supportive Care
2017 E ADOBE ST
MESA, AZ 85213
Case Management
2017 E ADOBE ST
MESA, AZ 85213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Petkovich's NPI number?

The NPI number for Katherine Petkovich is 1841968898. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Katherine Petkovich located?

Katherine Petkovich practices at 2017 E Adobe St, Mesa, AZ 85213. The listed phone number is (480) 244-5373.

What is Katherine Petkovich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Katherine Petkovich accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Katherine Petkovich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Petkovich was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.