Individual provider Active NPI

Maria Petkova

  • Family Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1992284442
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2305350 Issued in MA
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

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181203000883 NH Practitioner - Nurse Practitioner 7012251028 Reassigns benefits to 1 organization
I20210714001163 MA Practitioner - Nurse Practitioner 7012251028 Reassigns benefits to 1 organization

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
Northeast Dermatology Associates PCGroup PAC ID 3072403799, 84 clinicians
Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians

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 100Reported as group
Quality
84.27
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2305350MAMDFamily Nurse Practitioner
079048-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Dermatology LLC CurrentSince Dec 15, 2025 Accepting new patients
Northeast Dermatology Associates, PC CurrentSince Sep 1, 2021 Accepting new patients
Neda at North Shore PC CurrentSince Sep 1, 2021 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

  • Direct secure messaging: mpetkovapa@nedermatology.emadirect.md
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.