JODI MICSKY CNP
NPI 1245649615
Nurse Practitioner - Primary Care in Poland, OH
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
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jodi Micsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Youngstown, OH 44504
- Reassigned Medicare billing, Ohio enrollment
- 744 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 776 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, OHHmhp St Elizabeth Boardman Health Center
Acute Care Hospitals · Boardman, OHPhysician 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.
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
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.
POLAND, OH 44514
POLAND, OH 44514
POLAND, OH 44514
YOUNGSTOWN, OH 44514
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.
Which organizations bill Medicare for Jodi Micsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Micsky reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH) and Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jodi Micsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 Antidote Health Plan of Ohio, Inc. and 3 other insurers 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 2 years 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.
# Jodi Micsky, CNP · NPI 1245649615
Primary Care physician in Poland, Ohio. Individual provider, active in the CMS NPPES registry since August 10, 2014.
## Identity
- **NPI:** 1245649615 (Entity type: Individual)
- **Enumerated:** August 10, 2014
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** APRN.CNP.16119 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 715 E WESTERN RESERVE RD, Poland, OH 44514-3358
- **Phone:** (330) 726-3204 · **Fax:** (330) 729-9316
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Health Physicians Youngstown Specialty Care LLC (NPI 1609544055, Youngstown, OH); Hospitalist Medicine Physicians Of Ohio, Professional Corporation (NPI 1043572290, Columbus, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 11, 2024
- **Other identifiers:** Medicaid 0110786 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1245649615) · Data from the CMS NPPES public registry.