Active NPI
Amy M Mikusa, APRN CNP
- Gerontology Nurse Practitioner
- Stow, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- COA. 16284-NP
- Practice address
- 2971 Graham Rd
Stow, OH 44224-3619 - Phone
- (330) 688-7981
- Fax
- (330) 688-7469
- NPI assigned
- Aug 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | COA. 16284-NP | OH | Primary |
Addresses
Primary practice location
2971 Graham Rd
Stow, OH 44224-3619
Mailing address
2971 Graham Rd
Stow, OH 44224-3619
Phone (330) 688-7981
Other practice location 1
21 E State St Ofc 233
Columbus, OH 43215-4281
Phone (888) 731-8994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0109397 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amy.mikusa@chci.eclinicaldirectplus.com | Community Health Care Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1193 Norton Ave
Suite a
Norton, OH 44203-9526
Hospital & facility affiliations
- Summa Health System
- Akron General Medical Center
- Summa Western Reserve Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA. 16284-NP | OH | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care Inc. | Current | Accepting new patients | |
| Radiology Associates of Canton, Inc. | Past | Accepting new patients |
Locations
944 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4281
1193 Norton Ave
Ste A
Norton, OH 44203
Phone (330) 825-0847
2971 Graham Rd
Stow, OH 44224
Phone (330) 688-7981
Interoperability endpoints
- amy.mikusa@chci.eclinicaldirectplus.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.
-
- Family Medicine Physician
- Canal Fulton, OH
- NPI 1114902137
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1912982034
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Akron, OH
- NPI 1821035940
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
-
- General Acute Care Hospital
- Cuyahoga Falls, OH
- NPI 1518104199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770336000000",
"number": "1285034116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2971 GRAHAM RD",
"city": "STOW",
"state": "OH",
"postal_code": "442243619",
"telephone_number": "330-688-7981",
"fax_number": "330-688-7469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2971 GRAHAM RD",
"city": "STOW",
"state": "OH",
"postal_code": "442243619",
"telephone_number": "330-688-7981",
"fax_number": "330-688-7469"
}
],
"practiceLocations": [
{
"address_1": "21 E State St Ofc 233",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432154281",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIKUSA",
"first_name": "AMY",
"middle_name": "M",
"credential": "APRN CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-28",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "OH",
"license": "COA. 16284-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0109397",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amy.mikusa@chci.eclinicaldirectplus.com",
"affiliation": "Y",
"affiliationName": "Community Health Care Inc.",
"address_1": "2971 Graham Rd",
"city": "Stow",
"state": "OH",
"country_code": "US",
"postal_code": "442243619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.