STEPHANIE A KLISAN (AGACNP-BC) – Critical Care Medicine Nurse Practitioner, NPI 1851818538

STEPHANIE A KLISAN (AGACNP-BC) is a healthcare provider. based in Akron, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. RN.348005 (OH). The NPI Number for STEPHANIE A KLISAN (AGACNP-BC) is 1851818538

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE A KLISAN (AGACNP-BC)
NPI
1851818538
Phone
(330) 620-0523
Address
3549 BIRDLAND AVE
Enumeration Date
24 August 2017
Last Update Date
24 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
1658637020
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20171117002478
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:8State licenses:2Digital endpointsOther names

14,989 NURSE PRACTITIONER in OH

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Provider Addresses for STEPHANIE A KLISAN (AGACNP-BC)

  • 3549 BIRDLAND AVE

    AKRON, OH 443192223

    Phone: (330) 620-0523

    Type: Mailing

  • Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States

    CLEVELAND, OH 441950001

    Phone: (216) 286-7015

    Fax: (216) 286-7015

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $188.

Total Amount is formed as General ($188) + Research ($0) + Ownership ($0) = $188.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABIOMED ($152).

Total Amount

$188

General + Research + Ownership

Payments

4

Total payment records

General Amount

$188

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171117002478INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes11345$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1815$0
View full utilization report →

Insurance plans in this area (ZIP 44319)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify STEPHANIE A KLISAN (AGACNP-BC) with an NPI only?
You can start verification with NPI 1851818538 for STEPHANIE A KLISAN (AGACNP-BC), then check state licensing separately.
Is STEPHANIE A KLISAN (AGACNP-BC) listed as active for patients and plans?
The listing shows STEPHANIE A KLISAN (AGACNP-BC) as active in the NPI system.
What is STEPHANIE A KLISAN (AGACNP-BC)'s specialty?
The listing groups STEPHANIE A KLISAN (AGACNP-BC) with Critical Care Medicine Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does STEPHANIE A KLISAN (AGACNP-BC) serve?
STEPHANIE A KLISAN (AGACNP-BC)'s listing highlights Akron, Ohio; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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