Jodi Micsky, CNP - Medicare Nurse Practitioner in Poland, OH

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Jodi Micsky, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Poland, Ohio. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Health Physicians Youngstown Specialty Care Llc and her current practice location is 715 E Western Reserve Rd, Poland, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 726-3204.

Jodi Micsky is licensed to practice in Ohio (license number COA.16119-NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245649615.

Contact Information

Jodi Micsky, CNP
715 E Western Reserve Rd,
Poland, OH 44514-3358
(330) 726-3204
(330) 729-9316

Map and Direction




Provider's Profile

Full NameJodi Micsky
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location715 E Western Reserve Rd, Poland, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jodi Micsky graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1245649615
  • Provider Enumeration Date: 08/10/2014
  • Last Update Date: 10/02/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8325260813
  • Enrollment ID: I20141118001497

Medical Identifiers

Medical identifiers for Jodi Micsky such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245649615NPI-NPPES
0110786MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health RN.296599-COA1 (Ohio)Secondary
363LA2200XNurse Practitioner - Adult Health COA.16119-NP (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cleveland ClinicCleveland, OHHospital
St Elizabeth Youngstown HospitalYoungstown, OHHospital
Hmhp St Elizabeth Boardman Health CenterBoardman, OHHospital
Mh St Joseph Warren HospitalWarren, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health Physicians Youngstown Specialty Care Llc3476950296389

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jodi Micsky allows following entities to bill medicare on her behalf.
Entity NameHospitalist Medicine Physicians Of Ohio, Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043572290
PECOS PAC ID: 3779749197
Enrollment ID: O20120730000162
Entity NameHospitalist Medicine Physicians Of Ohio - Youngstown
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780163832
PECOS PAC ID: 5991057812
Enrollment ID: O20181004000058
Entity NameMercy Health Physicians Youngstown Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649892225
PECOS PAC ID: 3476950296
Enrollment ID: O20210921003835

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jodi Micsky is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jodi Micsky, CNP
Po Box 636988,
Cincinnati, OH 45263-6988

Ph: (888) 940-2722		Jodi Micsky, CNP
715 E Western Reserve Rd,
Poland, OH 44514-3358

Ph: (330) 726-3204

Reviews and Comments


Nurse Practitioner Nurses in Poland, OH

Amanda L. Roeder, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 715 E Western Reserve Rd Fl 2, Poland, OH 44514
Phone: 330-726-3204    Fax: 330-306-8319
Lorene Martin, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 807 Southwestern Run, Poland, OH 44514
Phone: 330-729-0059    Fax: 330-729-9297
Jason Joseph Koenig, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 715 E Western Reserve Rd, Poland, OH 44514
Phone: 330-726-3204    
Mrs. Gabrielle Eisel, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9190 Springfield Rd Apt 19c, Poland, OH 44514
Phone: 234-567-1698    
Heather K Heutsche, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 905 Sahara Trl, Poland, OH 44514
Phone: 330-729-8970    Fax: 330-729-8971
David Michael Klacik, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 715 E Western Reserve Rd, Poland, OH 44514
Phone: 330-726-3204    Fax: 330-729-9316

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.