STEPHANIE A KLISAN AGACNP-BC NPI 1851818538

NPI Information

NPI: 1851818538
Provider Name: STEPHANIE A KLISAN, AGACNP-BC
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195
Phone: (216) 286-7015
Get Directions

Stephanie A Klisan, AGACNP-BC is a critical care medicine nurse practitioner in Cleveland, OH with 7 years of experience. Stephanie A Klisan, AGACNP-BC NPI is 1851818538. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9500 EUCLID AVE
CLEVELAND, OH
ZIP 44195-001
Phone: (216) 286-7015
Fax: (216) 286-7015

The NPI 1851818538 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Evaluation of lower heart chamber assist device with physician analysis (HCPCS:93750)

The enumeration date for this NPI number is 8/24/2017 and was last updated on 8/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	RN.348005	OHIO	No
2	363LC0200X	Nurse Practitioner	Critical Care Medicine	APRN.CNP.021582	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	APRN.CNP.021582	OTHER	OHIO	LICENSE NUMBER
2	RN.348005	OTHER	OHIO	RN LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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