Ksenia Petrushkina, PA
NPI 1972119451 · Physician Assistant · Sunny Isles Beach, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ksenia Petrushkina, PA is a Physician Assistant provider in Sunny Isles Beach, FL (NPI 1972119451).
Provider details
- NPI number
- 1972119451
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1150989 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-09-19
- Last updated
- 2020-09-19
- Certified
- 2020-09-19
Frequently asked questions
- What is Ksenia Petrushkina's NPI number?
- Ksenia Petrushkina's National Provider Identifier (NPI) is 1972119451, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ksenia Petrushkina's specialty?
- Ksenia Petrushkina is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ksenia Petrushkina located?
- Ksenia Petrushkina's practice location on file with NPPES is 17121 Collins Ave Apt 1907, Sunny Isles Beach, FL 33160-4380.
- What is Ksenia Petrushkina's phone number?
- The practice phone number listed in the NPPES registry for Ksenia Petrushkina is (786) 564-3612.
- Does Ksenia Petrushkina accept Medicare?
- Ksenia Petrushkina is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ksenia Petrushkina's NPI active?
- Yes — Ksenia Petrushkina's NPI (1972119451) is active in the NPPES registry as of the last update on 2020-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.