Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy M Mikusa, APRNCNP

Individual provider Gerontology Nurse Practitioner · NPI 1285034116

Amy M Mikusa, APRNCNP is a Nurse Practitioner in Stow, Ohio. Qualified in 2014, 12 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2014

Practice location Address checks out

2971 Graham Rd
Stow, OH 44224-3619
Phone: (330) 688-7981
Fax: (330) 688-7469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21 E State St Ofc 233, Columbus, OH 43215-4281 — (888) 731-8994

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence COA. 16284-NP (OH)

Record details

NPI number1285034116
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCNP
Sole proprietorNo
NPI enumeratedAugust 28, 2014
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Stow