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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: August 02, 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

Medicare Participation & PECOS CMS

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

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.

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.

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 6 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.