MRS. KRISTINA PETKOVIC (C.N.P.) – Nurse Practitioner, NPI 1942857404
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MRS. KRISTINA PETKOVIC (C.N.P.)
Landerbrook Drive, Mayfield Heights, Cuyahoga County, Ohio, 44124, United States
MAYFIELD HEIGHTS, OH 441244083
Phone: (440) 443-0423
Fax: (440) 443-0414
Type: Mailing
7580 AUBURN RD STE 301
CONCORD TWP, OH 440779618
Phone: (440) 443-0423
Type: Location
2000 AUBURN DR.
STE. 350
BEACHWOOD, OH 441224327
Phone: (440) 646-1600
Fax: (440) 646-1505
Type: Mailing
2141 LAKE AVE
ASHTABULA, OH 440043435
Phone: (440) 696-7546
Fax: (440) 755-8010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 311 Open Payments records for all available years, with a total value of $5,195.
Total Amount is formed as General ($5,195) + Research ($0) + Ownership ($0) = $5,195.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($886).
Total Amount
$5,195
General + Research + Ownership
Payments
311
Total payment records
General Amount
$5,195
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $886 |
| Lilly USA, LLC | $765 |
| ABBVIE INC. | $687 |
| Janssen Biotech, Inc. | $494 |
| LEO Pharma Inc. | $235 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190911000751 | I | Nurse Practitioner | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 513 | 129 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 420 | 336 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 256 | 207 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 166 | 134 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 152 | 152 | $0 |
Insurance plans in this area (ZIP 44124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | KY | |
| Nurse Practitioner | OH |
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