DAVID MICHAEL KLACIK CNP
NPI 1306375787
Nurse Practitioner - Family in Poland, OH
About David Michael Klacik Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID MICHAEL KLACIK CNP (NPI 1306375787) is an individual family provider in Poland, Ohio, licensed in Ohio (APRN.CNP.021064) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
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
David Michael Klacik 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 David Klacik 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
Youngstown, OH 44504
- Reassigned Medicare billing, Ohio enrollment
- 374 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 5
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Elizabeth Youngstown Hospital
Acute Care Hospitals · Youngstown, 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 David Klacik's NPI number?
The NPI number for David Klacik is 1306375787. It was assigned to this individual provider in the NPPES registry on June 8, 2017.
Where is David Klacik located?
David Klacik practices at 715 E Western Reserve Rd, Poland, OH 44514. The listed phone number is (330) 726-3204.
What is David Klacik's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is David Klacik enrolled in Medicare?
Yes. David Klacik 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 David Klacik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Klacik reassigns Medicare benefits to 2 organizations: Mercy Health Physicians Youngstown Specialty Care LLC (Youngstown, OH) and Mercy Health Physicians Youngstown, LLC (Youngstown, 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 David Klacik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Klacik 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 4 other insurers list David Klacik 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 David Klacik affiliated with any hospitals?
According to CMS data, David Klacik is affiliated with St Elizabeth Youngstown Hospital.
When was this NPI record last updated?
The NPPES record for David Klacik was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# David Michael Klacik, CNP · NPI 1306375787
Family physician in Poland, Ohio. Individual provider, active in the CMS NPPES registry since June 8, 2017.
## Identity
- **NPI:** 1306375787 (Entity type: Individual)
- **Enumerated:** June 8, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.021064 (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); Mercy Health Physicians Youngstown, LLC (NPI 1154636066, Youngstown, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1306375787) · Data from the CMS NPPES public registry.