Active NPI
Maria Petkova
- Family Nurse Practitioner
- North Andover, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2305350
- Practice address
- 198 Massachusetts Ave Ste 105
North Andover, MA 01845-4143 - Phone
- (978) 691-5690
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2305350 | MA | Primary |
| Family Nurse Practitioner | 363LF0000X | 079048-23 | NH |
Addresses
Primary practice location
198 Massachusetts Ave Ste 105
North Andover, MA 01845-4143
Mailing address
111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
Phone (330) 947-6021
Other practice location 1
31 Stiles Rd Ste 2100
Salem, NH 03079-3035
Phone (603) 942-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
198 Massachusetts Ave
Suite 105
North Andover, MA 01845-4143
Phone (978) 691-5690
31 Stiles Rd
Suite 2100
Salem, NH 03079-3035
Phone (603) 942-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.63 of 100
- Quality
- 84.27
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2305350 | MA | MD | Family Nurse Practitioner |
| 079048-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optima Dermatology LLC | Current | Accepting new patients | |
| Northeast Dermatology Associates, PC | Current | Accepting new patients | |
| Neda at North Shore PC | Current | Accepting new patients | |
| Advanced Dermatology and Skin Cancer Center | Past | Accepting new patients |
Locations
198 Massachusetts Ave
Ste 105
North Andover, MA 01845
Phone (978) 687-3335
538 Turnpike St
North Andover, MA 01845
Phone (978) 683-9201
176 S River Rd
Bedford, NH 03110
Phone (603) 644-8334
1 Hampton Rd
Ste A306
Exeter, NH 03833
Phone (603) 294-4635
330 Borthwick Ave
Ste 303
Portsmouth, NH 03801
Phone (603) 431-5205
111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490
31 Stiles Rd
Ste 2100
Salem, NH 03079
Phone (603) 894-0500
987 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 271-8589
302 Innovation Dr
Ste 400
Franklin, TN 37067
Interoperability endpoints
- mpetkovapa@nedermatology.emadirect.md
- maria.petkova@pd.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Specialist
- North Andover, MA
- NPI 1104921162
-
- Dermatology Physician
- Marblehead, MA
- NPI 1902345861
-
- Clinical Medical Laboratory
- Boardman, OH
- NPI 1497912893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761177600000",
"number": "1992284442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 NEW HAMPSHIRE AVE STE 2",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038012864",
"telephone_number": "330-947-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 MASSACHUSETTS AVE STE 105",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018454143",
"telephone_number": "978-691-5690"
}
],
"practiceLocations": [
{
"address_1": "31 Stiles Rd Ste 2100",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "NH",
"postal_code": "030793035",
"country_code": "US",
"telephone_number": "603-942-2020",
"fax_number": "603-288-1722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETKOVA",
"first_name": "MARIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-07",
"last_updated": "2025-10-23",
"certification_date": "2025-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2305350",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "079048-23",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.