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

Individual provider Family Nurse Practitioner · NPI 1003196114

Stacy Jo Klass, CNP is a Nurse Practitioner in Lima, Ohio. Qualified in 2011, 15 years ago. Practices with County of Putnam Office of Auditor, a 3-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2011
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1005 Bellefontaine Ave Ste 100
Lima, OH 45804-2851
Phone: (419) 227-5298
Fax: (419) 227-5879
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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 COA12426 (OH)

Record details

NPI number1003196114
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorYes
NPI enumeratedAugust 19, 2011
Last updated in NPPESMarch 5, 2018
Mailing address951 Commerce Pkwy, Suite 101, Lima, OH 45804-4040

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice County Of Putnam Office Of Auditor — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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