Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gina Marie Kicos, DNP, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1073952685

Dr. Gina Marie Kicos, DNP, APRN-CNP is a Nurse Practitioner in Canton, Ohio. Qualified in 2013, 13 years ago. Practices with Pai Participant 1 LLC, a 168-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
13
Licensed in
OH
In the registry since
2013
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

4235 Tuscarawas St W
Canton, OH 44708-5424
Phone: (234) 203-4232
Fax: (330) 266-4386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6095 Marshalee Dr, Elkridge, MD 21075-6053 — (330) 641-4572

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.14603 (OH)

Record details

NPI number1073952685
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , APRN-CNP
Sole proprietorNo
NPI enumeratedJune 17, 2013
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Pai Participant 1 Llc — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

Other providers in Canton