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

Individual provider Family Nurse Practitioner · NPI 1891328092

Katelyn Polilli, APRN-CNP is a Nurse Practitioner in Dover, Ohio. Qualified in 2019, 7 years ago. Practices with Cleveland Clinic, a 6,935-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

400 Medical Park Dr Ste 101
Dover, OH 44622-3207
Phone: (330) 343-7581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 026228 (OH)

Record details

NPI number1891328092
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedFebruary 16, 2020
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023
Mailing address400 Medical Park Dr Ste 101, Dover, OH 44622-3207

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dover