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NICOLE RENEE LASICH
NPI 1124853619
Physician Assistant in Sylvania, OH

Active since September 04, 2024PECOS EnrolledAccepts Medicare Assignment
5308 HARROUN RD STE 280, SYLVANIA, OH 43560(567) 585-2080 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2025, May 20, 2025, May 6, 2025 and 1 more (4 updates tracked since 2024).

About Nicole Renee Lasich NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE RENEE LASICH (NPI 1124853619) is an individual physician assistant in Sylvania, Ohio, licensed in Ohio (50.009453RX) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124853619
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE RENEE LASICH
Location Address5308 HARROUN RD STE 280Sylvania, OH 43560-2190
Mailing Address5300 Harroun Rd Ste 280Sylvania, OH 43560-2146
Phone(567) 585-2080
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 4, 2024
Last NPPES UpdateJune 12, 20254 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1124853619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.009453RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5308 HARROUN RD STE 280, Sylvania, OH 43560
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Renee Lasich is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779087432
PECOS Enrollment IDI20250917001028
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHERINE HAY ROMP PA-C
Physician Assistant
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (419) 524-5668
KRISTOFFER BRADLEY SUGG MD, PHD
Surgery (Plastic and Reconstructive Surgery)
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (567) 585-2080
ADAM C WALTER M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (419) 824-5633
PROMEDICA HEALTH SYSTEM
Physician Assistant (Medical)
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (419) 824-1785
SHOSHANA WOO AMBANI M.D.
Plastic Surgery
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (567) 585-2080
HALEY KOVACH PA-C
Physician Assistant
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (419) 824-5668
LAURIE A BOUDREAUX PA-C
Physician Assistant
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (567) 585-2080
ERIN SCHROEDER CNP
Nurse Practitioner
5308 HARROUN RD STE 280
SYLVANIA, OH 43560
Lucas County (567) 585-2080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Lasich's NPI number?

The NPI number for Nicole Lasich is 1124853619. It was assigned to this individual provider in the NPPES registry on September 4, 2024.

Where is Nicole Lasich located?

Nicole Lasich practices at 5308 Harroun Rd Ste 280, Sylvania, OH 43560. The listed phone number is (567) 585-2080.

What is Nicole Lasich's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Lasich enrolled in Medicare?

Yes. Nicole Lasich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Lasich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and CareSource and 2 other insurers list Nicole Lasich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Lasich affiliated with any hospitals?

According to CMS data, Nicole Lasich is affiliated with Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Lasich was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.