MRS. ANITA R. KOCH RN CNS
NPI 1316190556
Clinical Nurse Specialist - Adult Health in Poland, OH

Active since October 31, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7067 TIFFANY BLVD, SUITE 230, POLAND, OH 44514(330) 758-2748(330) 758-3282 Get Directions Write a Review

NPPES record last updated: June 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Anita R. Koch Rn Cns NPPES

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

MRS. ANITA R. KOCH RN CNS (NPI 1316190556) is an individual adult health provider in Poland, Ohio, licensed in Ohio (NS09826) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1316190556
Entity TypeIndividualFemale
Primary Taxonomy364SA2200X
Provider Legal NameMRS. ANITA R. KOCHCredential: RN CNS
Location Address7067 TIFFANY BLVD, SUITE 230Poland, OH 44514-1993
Mailing Address4135 Boardman Canfield Rd, Suite 101Canfield, OH 44406-9803 · (330) 286-5330 · Fax (330) 286-5396
Fax(330) 758-3282
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 31, 2008
Last NPPES UpdateJune 22, 2017
NPI 1316190556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SA2200X
License Licensed in OH · NS09826
Also ListedRegistered NurseTaxonomy 163W00000X · License RN. 226436 (OH)
7067 TIFFANY BLVD, Poland, OH 44514

Other Identifiers 3

OtherH155462OH · Medicare Ptan
Other000000955776OH · Anthem Bsbs
Medicaid2916518OH

Accepted 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

Mrs. Anita R. Koch Rn Cns 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 ID7618024514
PECOS Enrollment IDI20090410000189
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 2

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.
501 services189 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.
247 services102 patients

Hospital Affiliations CMS Care Compare 3

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

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Orthopaedic Surgery
7067 TIFFANY BLVD, SUITE 150
YOUNGSTOWN, OH 44514
Radiology (Diagnostic Radiology)
7067 TIFFANY BLVD
YOUNGSTOWN, OH 44514
Orthopaedic Surgery
7067 TIFFANY BLVD, SUITE 150
YOUNGSTOWN, OH 44514
Anesthesiology (Pain Medicine)
7067 TIFFANY BLVD, SUITE 230
YOUNGSTOWN, OH 44514
Clinical Nurse Specialist (Acute Care)
7067 TIFFANY BLVD, SUITE 230
YOUNGSTOWN, OH 44514
Nurse Practitioner (Family)
7067 TIFFANY BLVD
YOUNGSTOWN, OH 44514
Internal Medicine
7067 TIFFANY BLVD, STE 250
YOUNGSTOWN, OH 44514
Nurse Practitioner (Family)
7067 TIFFANY BLVD
POLAND, 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 Anita Koch's NPI number?

The NPI number for Anita Koch is 1316190556. It was assigned to this individual provider in the NPPES registry on October 31, 2008.

Where is Anita Koch located?

Anita Koch practices at 7067 Tiffany Blvd Suite 230, Poland, OH 44514. The listed phone number is (330) 758-2748.

What is Anita Koch's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Adult Health, with taxonomy code 364SA2200X.

Is Anita Koch enrolled in Medicare?

Yes. Anita Koch 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 Anita Koch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Anita Koch 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 Anita Koch affiliated with any hospitals?

According to CMS data, Anita Koch is affiliated with St Elizabeth Youngstown Hospital, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Anita Koch was last updated on June 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.