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

Jodi Micsky, CNP

Individual provider Gerontology Nurse Practitioner · NPI 1245649615

Jodi Micsky, CNP is a Nurse Practitioner in Poland, Ohio. Qualified in 2014, 12 years ago. Practices with Mercy Health Physicians Youngstown Specialty Care LLC, a 467-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2014
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

715 E Western Reserve Rd
Poland, OH 44514-3358
Phone: (330) 726-3204
Fax: (330) 729-9316
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence APRN.CNP.16119 (OH)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence APRN.CNP.16119 (OH)

Record details

NPI number1245649615
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 10, 2014
Last updated in NPPESOctober 11, 2024
Certification dateOctober 11, 2024

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)
Group practice Mercy Health Physicians Youngstown Specialty Care Llc — 467 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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