Individual provider Active NPI

Angela Klimko

  • Family Nurse Practitioner
  • Boardman, OH
National Provider Identifier
1396564985
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0037765 Issued in OH
Practice address
7341 Eisenhower Dr
Boardman, OH 44512-5900
Phone
(330) 726-1138
Fax
(330) 726-6128
NPI assigned
Oct 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0037765 OH Primary

Addresses

Primary practice location

7341 Eisenhower Dr
Boardman, OH 44512-5900

Mailing address

4645 Bunny TRL
Canfield, OH 44406-9388
Phone (330) 502-6708

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
I20251006000324 OH Practitioner - Nurse Practitioner 4082142682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palliative Care Support Solutions, LLCGroup PAC ID 2769807122, 6 clinicians

Practice addresses (Care Compare)

26261 Main St
Coolville, OH 45723-9204
Phone (740) 350-9095

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Support Solutions, LLC CurrentSince Aug 2, 2025 Accepting new patients

Locations

26261 Main St
Coolville, OH 45723
Phone (740) 350-9095

26261 Main St
Ste 2
Coolville, OH 45723
Phone (740) 350-9095

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.

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1396564985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 BUNNY TRL",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069388",
            "telephone_number": "330-502-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 EISENHOWER DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125900",
            "telephone_number": "330-726-1138",
            "fax_number": "330-726-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMKO",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0037765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.