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JODI MICSKY CNP
NPI 1245649615
Nurse Practitioner - Primary Care in Poland, OH

Active since August 10, 2014PECOS EnrolledAccepts Medicare Assignment
715 E WESTERN RESERVE RD, POLAND, OH 44514(330) 726-3204(330) 729-9316 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2024, Oct 2, 2015 (2 updates tracked since 2015).

About Jodi Micsky Cnp NPPES

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

JODI MICSKY CNP (NPI 1245649615) is an individual primary care provider in Poland, Ohio, licensed in Ohio (APRN.CNP.16119) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1245649615
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameJODI MICSKYCredential: CNP
Location Address715 E WESTERN RESERVE RDPoland, OH 44514-3358
Mailing AddressPo Box 636988Cincinnati, OH 45263-6988 · (888) 940-2722 · Fax (513) 632-8898
Phone(330) 726-3204
Fax(330) 729-9316
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 10, 2014
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1245649615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in OH · APRN.CNP.16119
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN.CNP.16119 (OH)
715 E WESTERN RESERVE RD, Poland, OH 44514
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Other Identifiers 1

Medicaid0110786OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Jodi Micsky 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 ID8325260813
PECOS Enrollment IDI20141118001497
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 4

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.
225 services200 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
142 services136 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
63 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44514 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%43 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CARLY RAE TEPSICK FNP-C
Nurse Practitioner (Family)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
NICOLE LYNN SESSER AGACNP-BC
Nurse Practitioner (Acute Care)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
JASON JOSEPH KOENIG NP-C
Nurse Practitioner (Family)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
DR. JOHN D. SCROCCO M.D.
Internal Medicine (Cardiovascular Disease)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
MR. TIMOTHY BYRNES
Internal Medicine (Clinical Cardiac Electrophysiology)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
DAVID MICHAEL KLACIK CNP
Nurse Practitioner (Family)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204
DR. KWON T. MILLER D.O.
Internal Medicine (Cardiovascular Disease)
715 E WESTERN RESERVE RD
YOUNGSTOWN, OH 44514
Mahoning County (330) 726-3204
DIAGNOSTIC CARDIOLOGY ASSOCIATES
Internal Medicine (Cardiovascular Disease)
715 E WESTERN RESERVE RD
POLAND, OH 44514
Mahoning County (330) 726-3204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodi Micsky's NPI number?

The NPI number for Jodi Micsky is 1245649615. It was assigned to this individual provider in the NPPES registry on August 10, 2014.

Where is Jodi Micsky located?

Jodi Micsky practices at 715 E Western Reserve Rd, Poland, OH 44514. The listed phone number is (330) 726-3204.

What is Jodi Micsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Jodi Micsky enrolled in Medicare?

Yes. Jodi Micsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jodi Micsky accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Jodi Micsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jodi Micsky affiliated with any hospitals?

According to CMS data, Jodi Micsky is affiliated with St Elizabeth Youngstown Hospital and Hmhp St Elizabeth Boardman Health Center.

When was this NPI record last updated?

The NPPES record for Jodi Micsky was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.