Shelley Klaczko, FNP-C - Medicare Nurse Practitioner in Streetsboro, OH

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Shelley Klaczko, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Streetsboro, Ohio. Her current practice location is 9300 State Route 14, Streetsboro, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 474-6099.

Shelley Klaczko is licensed to practice in Ohio (license number APRN.CNP.021657) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356838643.

Contact Information

Shelley Klaczko, FNP-C
9300 State Route 14,
Streetsboro, OH 44241-5201
(330) 474-6099
Not Available

Map and Direction




Provider's Profile

Full NameShelley Klaczko
GenderFemale
SpecialityNurse Practitioner - Family
Location9300 State Route 14, Streetsboro, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356838643
  • Provider Enumeration Date: 04/23/2018
  • Last Update Date: 09/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517342983
  • Enrollment ID: I20220921001782

Medical Identifiers

Medical identifiers for Shelley Klaczko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356838643NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.021657 (Ohio)Primary

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. Shelley Klaczko allows following entities to bill medicare on her behalf.
Entity NameUrgent Care Specialists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114957123
PECOS PAC ID: 1850311010
Enrollment ID: O20051202000090
Entity NameHometown Urgent Care Of Michigan Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790030385
PECOS PAC ID: 8123270840
Enrollment ID: O20211014001382

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. Shelley Klaczko 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
Shelley Klaczko, FNP-C
9300 State Route 14,
Streetsboro, OH 44241-5201

Ph: () -		Shelley Klaczko, FNP-C
9300 State Route 14,
Streetsboro, OH 44241-5201

Ph: (330) 474-6099

Reviews and Comments


Nurse Practitioner Nurses in Streetsboro, OH

Miss Guinevere G Ferguson, CNP
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Phone: 330-626-1113    Fax: 330-626-1133
Betty Suzanne Kampman, FNP-C
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Practice Location: 9300 State Route 14, Streetsboro, OH 44241
Phone: 330-474-6337    Fax: 330-474-6338
Ms. Kuei-mei Wang, NP
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Phone: 330-422-7733    Fax: 330-422-7738
Kyley Ogard, CNP
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Phone: 330-626-1113    Fax: 330-626-1133
Jaymini D Dave,
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Practice Location: 9001 Portage Pointe Dr Apt P107, Streetsboro, OH 44241
Phone: 731-446-9726    
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Practice Location: 9480 Rosemont Dr Ste 200, Streetsboro, OH 44241
Phone: 330-422-4252    

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.