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KATARINA PLAVLJANIC CNP
NPI 1851110019
Family Medicine in Willoughby, OH

Active since October 05, 2024PECOS EnrolledAccepts Medicare Assignment
36000 EUCLID AVE, WILLOUGHBY, OH 44094(440) 722-8017 Get Directions Write a Review

NPPES record last updated: October 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katarina Plavljanic Cnp NPPES

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

KATARINA PLAVLJANIC CNP (NPI 1851110019) is an individual family medicine provider in Willoughby, Ohio, licensed in Ohio (APRN.CNP.0033535) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Lake Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1851110019
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATARINA PLAVLJANICCredential: CNP
Location Address36000 EUCLID AVEWilloughby, OH 44094-4625
Mailing Address36000 Euclid AveWilloughby, OH 44094-4625
Phone(440) 722-8017
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 5, 2024
NPPES CertifiedOctober 5, 2024
✔ NPI 1851110019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · APRN.CNP.0033535
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
36000 EUCLID AVE, Willoughby, OH 44094
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual.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

Katarina Plavljanic 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 ID6507390952
PECOS Enrollment IDI20241107004167
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katarina Plavljanic reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Hospital System
Same address
Obstetrics & Gynecology
36000 EUCLID AVE
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 285 clinicians in this Medicare group
NPI 1346202512 (440) 354-1618
University Hospitals Medical Group Inc
12 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 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.

JAMES ARTHUR LIGGETT JR. DO
Emergency Medicine
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9600
DR. JOYCE ARLENE WEST MD
Pathology (Anatomic Pathology & Clinical Pathology)
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 354-4208
MRS. BONNIE LYNN BROIDA PA
Physician Assistant
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-6240
MRS. KIM HEARN-VANCE LISW-S
Social Worker (Clinical)
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 251-9027
GEORGE LIVINGSTON PA
Physician Assistant
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-6203
OHIO EM-I MEDICAL SERVICES, PROFESSIONAL ASSOCIATION
Physician Assistant
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9600
MOLLY L HEARN LSW
Social Worker (Clinical)
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 354-8934
DORNICE IVANNA FRIDAY MSW, LW
Social Worker (Clinical)
36000 EUCLID AVE
WILLOUGHBY, OH 44094
Lake County (440) 953-9600

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 Katarina Plavljanic's NPI number?

The NPI number for Katarina Plavljanic is 1851110019. It was assigned to this individual provider in the NPPES registry on October 5, 2024.

Where is Katarina Plavljanic located?

Katarina Plavljanic practices at 36000 Euclid Ave, Willoughby, OH 44094. The listed phone number is (440) 722-8017.

What is Katarina Plavljanic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Katarina Plavljanic enrolled in Medicare?

Yes. Katarina Plavljanic 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 Katarina Plavljanic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katarina Plavljanic reassigns Medicare benefits to 2 organizations: Lake Hospital System (Willoughby, OH) and University Hospitals Medical Group Inc (Cleveland, 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 Katarina Plavljanic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katarina Plavljanic accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource and MedMutual list Katarina Plavljanic 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 Katarina Plavljanic affiliated with any hospitals?

According to CMS data, Katarina Plavljanic is affiliated with Lake Health.

When was this NPI record last updated?

The NPPES record for Katarina Plavljanic was last updated on October 5, 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.