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

Kristin Miceli

Individual provider Nurse Practitioner · NPI 1316757271

Kristin Miceli is a Nurse Practitioner in Canton, Ohio. Graduated from Ohio State University College of Medicine in 2024, 2 years ago. Practices with The Gastroenterology Clinic and Endoscopy Center Inc, a 36-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
2
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2025
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Practice location Address checks out

4665 Belpar St NW
Canton, OH 44718-3602
Phone: (330) 493-1480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0038280 (OH)

Record details

NPI number1316757271
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 13, 2025
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 10, 2025
Mailing address4665 Belpar St Nw, Canton, OH 44718-3602

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice The Gastroenterology Clinic And Endoscopy Center Inc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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