Individual provider Active NPI

Jessica Lauren Klaus, PA-C

  • Surgical Physician Assistant
  • North Canton, OH
National Provider Identifier
1194151654
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50,003852 Issued in OH
Practice address
6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone
(330) 305-6999
Fax
(330) 244-8115
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 50.003852 OH
Surgical Physician Assistant 363AS0400X 50,003852 OH Primary

Addresses

Primary practice location

6100 Whipple Ave NW
North Canton, OH 44720-7618

Mailing address

1401 S Arch Ave Ste a
Alliance, OH 44601-4288
Phone (330) 596-7581

Other identifiers 1

IdentifierTypeStateIssuer
0093760MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jessica.Klaus@direct.aultman.org

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
I20131122001554 OH Practitioner - Physician Assistant 7618103565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aultman Now Urgent Care, LLCGroup PAC ID 7719318633, 43 clinicians

Practice addresses (Care Compare)

6100 Whipple Ave NW
North Canton, OH 44720-7618
Phone (330) 305-6999

7066 Fulton Dr NW
Canton, OH 44718-1521
Phone (330) 363-8567

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.003852OHMDMedical Physician Assistant
50,003852OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jessica.klaus@direct.aultman.org
  • Direct secure messaging: jessica.klaus.1@16473.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1194151654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S ARCH AVE STE A",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014288",
            "telephone_number": "330-596-7581",
            "fax_number": "844-269-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207618",
            "telephone_number": "330-305-6999",
            "fax_number": "330-244-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAUS",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.003852",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50,003852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093760",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jessica.Klaus@direct.aultman.org",
            "affiliation": "N",
            "address_1": "6100 Whipple Ave NW",
            "city": "North Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447207618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.