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MR. NICHOLAS JACK MARINO JR. CPNP-AC
NPI 1366107682
Nurse Practitioner - Pediatrics, Critical Care in Tallmadge, OH

Active since November 02, 2021PECOS Enrolled
109 MARYANN RD, TALLMADGE, OH 44278(330) 608-3863 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2026, Nov 20, 2025, Nov 2, 2021 (3 updates tracked since 2021).

About Mr. Nicholas Jack Marino Jr. Cpnp-ac NPPES

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

MR. NICHOLAS JACK MARINO JR. CPNP-AC (NPI 1366107682) is an individual pediatrics, critical care provider in Tallmadge, Ohio, licensed in Ohio (0030147) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1366107682
Entity TypeIndividualMale
Primary Taxonomy363LP0222X
Provider Legal NameMR. NICHOLAS JACK MARINO JR.Credential: CPNP-AC
Location Address109 MARYANN RDTallmadge, OH 44278-1803
Mailing Address109 Maryann RdTallmadge, OH 44278-1803 · (330) 608-3863
Phone(330) 608-3863
Sole ProprietorNo
Enumeration DateNovember 2, 2021
Last NPPES UpdateJanuary 12, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1366107682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in OH · 0030147
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN.CNP.0030147 (OH)
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License APRN.CNP.0030147 (OH)
109 MARYANN RD, Tallmadge, OH 44278
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Secondary Practice Location 1

Location 1700 Childrens DrColumbus, OH 43205-2664 · Phone (614) 722-2000 · Fax (614) 722-3443

Other Identifiers 1

Medicaid0476233OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nicholas Jack Marino Jr. Cpnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Nicholas Marino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Cleveland Clinic Foundation
29 mi
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200
Nationwide Children's Hospital
113 mi
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Pediatric Academic Association, Inc.
113 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44278 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.

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 Nicholas Marino's NPI number?

The NPI number for Nicholas Marino is 1366107682. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Nicholas Marino located?

Nicholas Marino practices at 109 Maryann Rd, Tallmadge, OH 44278. The listed phone number is (330) 608-3863.

What is Nicholas Marino's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Nicholas Marino enrolled in Medicare?

Yes. Nicholas Marino is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicholas Marino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Marino reassigns Medicare benefits to 3 organizations: The Cleveland Clinic Foundation (Cleveland, OH), Nationwide Children's Hospital (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, 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 Nicholas Marino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Marino accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Nicholas Marino 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.

When was this NPI record last updated?

The NPPES record for Nicholas Marino was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.