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

Mrs. Kristina Petkovic, CNP

Individual provider Family Nurse Practitioner · NPI 1942857404

Mrs. Kristina Petkovic, CNP is a Nurse Practitioner in Ashtabula, Ohio. Qualified in 2017, 9 years ago. Practices with Apex Dermatology and Skin Surgery Center, LLC, a 52-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2019
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

2141 Lake Ave
Ashtabula, OH 44004-3435
Phone: (440) 696-7546
Fax: (440) 755-8010
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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 RN.339687 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence CNP.024404 (OH)

Record details

NPI number1942857404
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 20, 2019
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Apex Dermatology And Skin Surgery Center, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ashtabula