Individual provider Active NPI

Ainsley Anna Petroski, PA

  • Physician Assistant
  • Exeter, NH
National Provider Identifier
1386127348
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1 Hampton Rd Unit 200
Exeter, NH 03833-4855
Phone
(603) 775-7575
Fax
(603) 778-9680
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1 Hampton Rd Unit 200
Exeter, NH 03833-4855

Mailing address

1 Hampton Rd Unit 200
Exeter, NH 03833-4855
Phone (603) 775-7575

Other names 1

  • Ainsley Anna Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181019000997 NH Practitioner - Physician Assistant 1355694407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Sports Medicine and Orthopaedics, PLLCGroup PAC ID 4082512611, 35 clinicians

Practice addresses (Care Compare)

1 Hampton Rd
Unit 200
Exeter, NH 03833-4855
Phone (603) 775-7575

Hospital & facility affiliations

  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
  • Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
Quality
53.18
Promoting interoperability
79
Improvement activities
40
Cost
79.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1404NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Sports Medicine & Orthopaedics, PLLC CurrentSince Sep 24, 2018 Accepting new patients
Access Sports Medicine & Orthopaedics, PLLC CurrentSince Sep 24, 2018 Accepting new patients

Locations

1 Hampton Rd
Unit 200
Exeter, NH 03833
Phone (603) 775-7575

155 Borthwick Ave
Ste 102
Portsmouth, NH 03801
Phone (603) 431-3575

Interoperability endpoints

  • Direct secure messaging: apetroski@aosm1214.srs-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1386127348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD UNIT 200",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334855",
            "telephone_number": "603-775-7575",
            "fax_number": "603-778-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD UNIT 200",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334855",
            "telephone_number": "603-775-7575",
            "fax_number": "603-778-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSKI",
        "first_name": "AINSLEY",
        "middle_name": "ANNA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AINSLEY",
            "last_name": "SMITH",
            "middle_name": "ANNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Exeter, NH

Sources for this page

Verify at the official NPI Registry.