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MS. TONI M CLISCH NP-C
NPI 1154019750
Nurse Practitioner - Family in Hancock, MI

Active since May 01, 2023PECOS EnrolledAccepts Medicare Assignment
500 CAMPUS DR STE 4, HANCOCK, MI 49930(906) 483-1730 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Toni M Clisch Np-c NPPES

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

MS. TONI M CLISCH NP-C (NPI 1154019750) is an individual family provider in Hancock, Michigan, licensed in Michigan (4704341919NSA230B7) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Up Health System Portage, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1154019750
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TONI M CLISCHCredential: NP-C
Location Address500 CAMPUS DR STE 4Hancock, MI 49930-1452
Mailing Address31 Gregory StLake Linden, MI 49945-1248 · (906) 362-0529
Phone(906) 483-1730
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 1, 2023
NPPES CertifiedMay 1, 2023
✔ NPI 1154019750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704341919NSA230B7
500 CAMPUS DR STE 4, Hancock, MI 49930
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Ms. Toni M Clisch Np-c 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 ID6709242407
PECOS Enrollment IDI20230523001865
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
153 services85 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
100 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
76 services60 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
70 services70 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
43 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Up Health System Portage

Acute Care Hospitals · Hancock, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number230108
Location500 Campus DriveHancock, MI 49930 · Houghton County
Emergency services Birthing friendly

Aspirus Keweenaw Hospital And Clinics

Critical Access Hospitals · Laurium, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231319
Location205 OsceolaLaurium, MI 49913 · Houghton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49930 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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

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

JESSICA CAULKINS FNP-C
Nurse Practitioner (Family)
500 CAMPUS DR STE 4
HANCOCK, MI 49930
Houghton County (906) 483-1730

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 Toni Clisch's NPI number?

The NPI number for Toni Clisch is 1154019750. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Toni Clisch located?

Toni Clisch practices at 500 Campus Dr Ste 4, Hancock, MI 49930. The listed phone number is (906) 483-1730.

What is Toni Clisch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Toni Clisch enrolled in Medicare?

Yes. Toni Clisch 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 Toni Clisch accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Toni Clisch 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 Toni Clisch affiliated with any hospitals?

According to CMS data, Toni Clisch is affiliated with Up Health System Portage and Aspirus Keweenaw Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Toni Clisch was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.