JERRET KOLESAR CNP
NPI 1104558840
Nurse Practitioner - Psychiatric/Mental Health in Warren, OH

Q: What is Jerret Kolesar's NPI number?

The NPI number for Jerret Kolesar is 1104558840. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Q: What is Jerret Kolesar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jerret Kolesar was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 30, 2022PECOS EnrolledAccepts Medicare Assignment

1716 NORTH RD SE, WARREN, OH 44484(330) 574-8673 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2025, Jan 5, 2025 (2 updates tracked since 2025).

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About Jerret Kolesar Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRET KOLESAR CNP (NPI 1104558840) is an individual psychiatric/mental health provider in Warren, Ohio, licensed in Ohio (APRN.CNP.0034674) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ashtabula, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104558840

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJERRET KOLESARCredential: CNP

Location Address1716 NORTH RD SEWarren, OH 44484-2907

Mailing Address615 Angiline DrBoardman, OH 44512-6569 · (330) 503-1549

Phone(330) 574-8673

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 30, 2022

Last NPPES UpdateAugust 27, 20252 updates tracked since enumeration

NPPES CertifiedAugust 27, 2025

✔ NPI 1104558840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · APRN.CNP.0034674

1716 NORTH RD SE, Warren, OH 44484

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Secondary Practice Location 1

Location 11212 Lake AveAshtabula, OH 44004-2932 · Phone (330) 539-5200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jerret Kolesar Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345685186

PECOS Enrollment IDI20240301003427

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

46 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44484 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACY HORVATH

Nurse Practitioner (Psychiatric/Mental Health)