Mrs Kristina Petkovic, CNP in Ashtabula, OH - Medicare Nurse Practitioner

Mrs Kristina Petkovic, CNP is a medicare enrolled "Nurse Practitioner" in Ashtabula, Ohio. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Apex Dermatology And Skin Surgery Center, Llc and her current practice location is 2141 Lake Ave, Ashtabula, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 696-7546.

Mrs Kristina Petkovic is licensed to practice in Ohio (license number RN.339687) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942857404.

Contact Information

	Mrs Kristina Petkovic, CNP
	2141 Lake Ave, Ashtabula, OH 44004-3435
	(440) 696-7546
	(440) 755-8010

Map and Direction

Provider's Profile

Full Name	Mrs Kristina Petkovic
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	2141 Lake Ave, Ashtabula, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kristina Petkovic graduated from nursing school in 2017

NPI Data:

NPI Number: 1942857404
Provider Enumeration Date: 08/20/2019
Last Update Date: 10/20/2025

Medicare PECOS Information:

PECOS PAC ID: 7113256546
Enrollment ID: I20190911000751

Medical Identifiers

Medical identifiers for Mrs Kristina Petkovic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942857404	NPI	-	NPPES
0371450	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	CNP.024404 (Ohio)	Secondary
363L00000X	Nurse Practitioner	RN.339687 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ashtabula County Medical Center	Ashtabula, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Apex Dermatology And Skin Surgery Center, Llc	1052589777	44

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kristina Petkovic allows following entities to bill medicare on her behalf.

Entity Name	Apex Dermatology And Skin Surgery Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689973638 PECOS PAC ID: 1052589777 Enrollment ID: O20110725000647

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. Mrs Kristina Petkovic is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kristina Petkovic, CNP 2000 Auburn Dr., Ste. 350, Beachwood, OH 44122-4327 Ph: (440) 646-1600	Mrs Kristina Petkovic, CNP 2141 Lake Ave, Ashtabula, OH 44004-3435 Ph: (440) 696-7546

Reviews and Comments

Nurse Practitioner Nurses in Ashtabula, OH

Jennie Ashley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2259 Lake Ave, Ashtabula, OH 44004 Phone: 440-994-7654
Carol G Kercher, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1230 Lake Ave, Ashtabula, OH 44004 Phone: 440-964-2218 Fax: 440-964-8067
Crystal Lynn Severino, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3315 N Ridge Rd E Ste 700a, Ashtabula, OH 44004 Phone: 440-484-2130
Diana Bucher, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 635 Lake Ave, Ashtabula, OH 44004 Phone: 440-812-9126
Ms. Erin Frances Siegel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3315 N Ridge Rd E Ste 100, Ashtabula, OH 44004 Phone: 440-964-8387
Mrs. Melissa Anne Vance, FNP-BC, DCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2141 Lake Ave, Ashtabula, OH 44004 Phone: 440-443-0442 Fax: 440-755-8010
Candice Pollard-reed, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4726 Main Ave, Ashtabula, OH 44004 Phone: 440-992-8552

Mrs Kristina Petkovic, CNP - Medicare Nurse Practitioner in Ashtabula, OH