Individual provider Active NPI

Nicole A Klonaris, CNP

  • Nurse Practitioner
  • Lodi, OH
National Provider Identifier
1184978264
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13318NP Issued in OH
Practice address
225 Elyria St
Lodi, OH 44254-1031
Phone
(330) 948-5533
Fax
(330) 948-2726
NPI assigned
Oct 29, 2012
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 13318NP OH Primary

Addresses

Primary practice location

225 Elyria St
Lodi, OH 44254-1031

Mailing address

225 Elyria St
Lodi, OH 44254-1031
Phone (330) 948-5533

Other identifiers 5

IdentifierTypeStateIssuer
3613031OtherOHLODI COMMUNITY HOSPITAL MEDICARE GROUP #
1003849910OtherOHLODI COMMUNITY CARE CENTER TYPE 2 NPI #
1801807870OtherOHLODI COMUNITY HOSPITAL TYPE 2 NPI #
2396081OtherOHLODI COMMUNITY HOSPITAL MEDICAID GROUP #
0074796MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000469 OH Practitioner - Nurse Practitioner 7214180983 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

960 Clague Rd
Suite 2470
Westlake, OH 44145-1585
Phone (216) 844-1988

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13318NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC CurrentSince Mar 10, 2019 Accepting new patients
University Hospitals Ahuja Medical Center CurrentSince May 1, 2024 Accepting new patients
University Hospitals Ahuja Medical Center, Inc Current Accepting new patients
University Hospitals Medical Group Inc CurrentSince Oct 11, 2012 Accepting new patients
University Hospitals Ahuja Medical Center Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
Akron General Medical Center Past Accepting new patients

Locations

3999 Richmond Rd
Cleveland, OH 44122
Phone (216) 293-8226

11100 Euclid Ave
Cleveland Heights, OH 44106

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

960 Clague Rd
Ste 2470
Westlake, OH 44145
Phone (440) 250-2440

Interoperability endpoints

  • Direct secure messaging: nklonaris39730@ehrdirect.uhhospitals.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1184978264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ELYRIA ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541031",
            "telephone_number": "330-948-5533",
            "fax_number": "330-948-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ELYRIA ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541031",
            "telephone_number": "330-948-5533",
            "fax_number": "330-948-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLONARIS",
        "first_name": "NICOLE",
        "middle_name": "A",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "13318NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI COMMUNITY HOSPITAL MEDICARE GROUP #",
            "identifier": "3613031",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI COMMUNITY CARE CENTER TYPE 2 NPI #",
            "identifier": "1003849910",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI COMUNITY HOSPITAL TYPE 2 NPI #",
            "identifier": "1801807870",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LODI COMMUNITY HOSPITAL MEDICAID GROUP #",
            "identifier": "2396081",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0074796",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, OH

Sources for this page

Verify at the official NPI Registry.