MRS. KRISTINA PETKOVIC C.N.P.
NPI 1942857404
Nurse Practitioner in Ashtabula, OH

Q: What is Kristina Petkovic's NPI number?

The NPI number for Kristina Petkovic is 1942857404. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Q: What is Kristina Petkovic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristina Petkovic was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 20, 2019PECOS EnrolledAccepts Medicare Assignment

90.8/100

CMS Quality Rating

2141 LAKE AVE, ASHTABULA, OH 44004(440) 696-7546(440) 755-8010 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Kristina Petkovic C.n.p. NPPES

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

MRS. KRISTINA PETKOVIC C.N.P. (NPI 1942857404) is an individual nurse practitioner in Ashtabula, Ohio, licensed in Ohio (RN.339687) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Ashtabula County Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942857404

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. KRISTINA PETKOVICCredential: C.N.P.

Location Address2141 LAKE AVEAshtabula, OH 44004-3435

Mailing Address2000 Auburn Dr., Ste. 350Beachwood, OH 44122-4327 · (440) 646-1600 · Fax (440) 646-1505

Phone(440) 696-7546

Fax(440) 755-8010

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 20, 2019

Last NPPES UpdateOctober 20, 2025

NPPES CertifiedOctober 20, 2025

✔ NPI 1942857404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OH · RN.339687

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License CNP.024404 (OH)

2141 LAKE AVE, Ashtabula, OH 44004

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Other Identifiers 1

Medicaid0371450OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kristina Petkovic C.n.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113256546

PECOS Enrollment IDI20190911000751

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

839 services164 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

782 services446 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

421 services260 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

322 services219 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

291 services291 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

79 services55 patients

Shaving of skin growth of body, arms, or legs, 0.5 cm or less 11300

This is a simple procedure where a small skin growth on your body, arms, or legs, measuring 0.5 cm or less, is carefully shaved off. It's typically quick, with minimal discomfort. It helps to prevent any potential health issues related to the growth.

69 services61 patients

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

62 services60 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

55 services50 patients

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 11310

This procedure involves the careful removal of a small skin growth on the face or related areas. A medical professional uses a special tool to gently shave off the growth, which is 0.5 cm or less. It's a common, safe procedure.

41 services36 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

38 services31 patients

Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm 11311

This procedure involves removing a small skin growth on the face or related areas like the ears, eyelids, nose, lips, or mouth. The growth is gently shaved off, typically under local anesthesia. It's a quick, safe process for growths between 0.6-1.0 cm in size.

37 services35 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm 11306

This procedure involves the careful removal of a small skin growth, between 0.6-1.0 cm in size, from the scalp, neck, hands, or feet. It's done using a special tool to gently shave off the growth, ensuring minimal discomfort.

27 services26 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

25 services15 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

24 services18 patients

Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less 11305

This is a procedure where a small skin growth on the scalp, neck, hands, or feet, measuring 0.5 cm or less, is carefully removed. The process involves shaving off the growth layer by layer to ensure complete removal. It's a safe and common practice.

20 services20 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

19 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

15 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ashtabula County Medical Center

Acute Care Hospitals · Ashtabula, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360125

Location2420 Lake AvenueAshtabula, OH 44004 · Ashtabula County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

82.74

Promoting Interoperability

Improvement Activities

Cost

93.28

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Other Providers at the Same Location NPPES 4

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

MRS. MELISSA ANNE VANCE FNP-BC, DCNP

Nurse Practitioner

2141 LAKE AVE
ASHTABULA, OH 44004

Ashtabula County (440) 443-0442

DR. JAMES GREGORY LAVERY M.D.

Family Medicine

2141 LAKE AVE
ASHTABULA, OH 44004

Ashtabula County (440) 443-0442

SEAN DOUGLAS DEELEY P.A.-C

Physician Assistant

2141 LAKE AVE
ASHTABULA, OH 44004

Ashtabula County (440) 443-0442

MS. SOPHIA ANNA THORMAN PA-C

Physician Assistant

2141 LAKE AVE
ASHTABULA, OH 44004

Ashtabula County (440) 443-0442

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 Kristina Petkovic's NPI number?

The NPI number for Kristina Petkovic is 1942857404. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Where is Kristina Petkovic located?

Kristina Petkovic practices at 2141 Lake Ave, Ashtabula, OH 44004. The listed phone number is (440) 696-7546.

What is Kristina Petkovic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristina Petkovic enrolled in Medicare?

Yes. Kristina Petkovic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristina Petkovic accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Insurance Corporation of Ohio and SummaCare and 1 other insurer list Kristina Petkovic 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.

Is Kristina Petkovic affiliated with any hospitals?

According to CMS data, Kristina Petkovic is affiliated with Ashtabula County Medical Center.

When was this NPI record last updated?

The NPPES record for Kristina Petkovic was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.