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NICOLAS JOHN MARCHINCHIN C.N.P.
NPI 1255984886
Nurse Practitioner in Willoughby, OH

Active since July 23, 2019PECOS EnrolledAccepts Medicare Assignment
36100 EUCLID AVE STE 120, WILLOUGHBY, OH 44094(440) 951-8360(440) 951-9408 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2021, Jul 23, 2019 (2 updates tracked since 2019).

About Nicolas John Marchinchin C.n.p. NPPES

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

NICOLAS JOHN MARCHINCHIN C.N.P. (NPI 1255984886) is an individual nurse practitioner in Willoughby, Ohio, licensed in Ohio (APRN.CNP.025100) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Lake Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1255984886
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameNICOLAS JOHN MARCHINCHINCredential: C.N.P.
Location Address36100 EUCLID AVE STE 120Willoughby, OH 44094-4426
Mailing Address431 E 324th StWillowick, OH 44095-3323 · (440) 666-8185
Phone(440) 951-8360
Fax(440) 951-9408
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 23, 2019
Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1255984886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.025100
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
36100 EUCLID AVE STE 120, Willoughby, OH 44094
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicolas John Marchinchin C.n.p. 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 ID2466781695
PECOS Enrollment IDI20190912002012
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicolas Marchinchin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Hospital System Inc
Same address
Internal Medicine
36100 EUCLID AVE, #240
Willoughby, OH 44094
  • Reassigned Medicare billing, Ohio enrollment
  • 285 clinicians in this Medicare group
NPI 1417991332 (440) 918-4679
University Primary Care Practices Inc
4.1 mi
Occupational Medicine
28080 CHARDON RD STE 204
Wickliffe, OH 44092
  • Reassigned Medicare billing, Ohio enrollment
  • 1,437 clinicians in this Medicare group
NPI 1528195492 (440) 944-2863
University Hospitals Medical Group Inc
12 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
286 services167 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
125 services120 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Lake Health

Acute Care Hospitals · Concord, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360098
Location7590 Auburn RoadConcord, OH 44077 · Lake County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 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
$96.44 typical visit price
range $17.10 – $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 2

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

DR. PAUL R ZELLERS DO
Internal Medicine (Cardiovascular Disease)
36100 EUCLID AVE STE 120
WILLOUGHBY, OH 44094
Lake County (440) 951-8360
OLIVIA KAY ENGLE
Nurse Practitioner (Family)
36100 EUCLID AVE STE 120
WILLOUGHBY, OH 44094
Lake County (440) 951-8360

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 Nicolas Marchinchin's NPI number?

The NPI number for Nicolas Marchinchin is 1255984886. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Nicolas Marchinchin located?

Nicolas Marchinchin practices at 36100 Euclid Ave Ste 120, Willoughby, OH 44094. The listed phone number is (440) 951-8360.

What is Nicolas Marchinchin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicolas Marchinchin enrolled in Medicare?

Yes. Nicolas Marchinchin 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.

Which organizations bill Medicare for Nicolas Marchinchin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Marchinchin reassigns Medicare benefits to 3 organizations: Lake Hospital System Inc (Willoughby, OH), University Primary Care Practices Inc (Wickliffe, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicolas Marchinchin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicolas Marchinchin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Nicolas Marchinchin 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 Nicolas Marchinchin affiliated with any hospitals?

According to CMS data, Nicolas Marchinchin is affiliated with Lake Health.

When was this NPI record last updated?

The NPPES record for Nicolas Marchinchin was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.