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LISA MARCINIAK
NPI 1396252748
Nurse Practitioner - Family in Toledo, OH

Active since January 08, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4925 JACKMAN RD, TOLEDO, OH 43613(419) 473-1715 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Nov 20, 2019, Jan 8, 2018 (3 updates tracked since 2018).

About Lisa Marciniak NPPES

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

LISA MARCINIAK (NPI 1396252748) is an individual family provider in Toledo, Ohio, licensed in Ohio (021694) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396252748
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA MARCINIAK
Location Address4925 JACKMAN RDToledo, OH 43613-3574
Mailing AddressPo Box 932958Cleveland, OH 44193-0028
Phone(419) 473-1715
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 8, 2018
Last NPPES UpdateMay 16, 20253 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1396252748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 021694
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.021694 (OH)
4925 JACKMAN RD, Toledo, OH 43613
Open in Google Maps ↗

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.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

Lisa Marciniak 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 ID941634455
PECOS Enrollment IDI20191216002033
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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
49 services49 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
48 services48 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
25 services24 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.
24 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43613 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

LAUREN TIELL
Physical Therapist
4925 JACKMAN RD, UNIT 34
TOLEDO, OH 43613
Lucas County (567) 318-1000
ELAINA RENEE BURTON RPH
Pharmacist
4925 JACKMAN RD
TOLEDO, OH 43613
Lucas County (419) 475-9103
SARAH ANN MEULEMAN
Pharmacist
4925 JACKMAN RD
TOLEDO, OH 43613
Lucas County (419) 691-7034
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4925 JACKMAN RD, UNIT 59
TOLEDO, OH 43613
Lucas County (419) 474-4989
THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
4925 JACKMAN RD
TOLEDO, OH 43613
Lucas County (419) 475-9103
DR. ABRAHAM ABDULSALAM PHARMD, RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4925 JACKMAN RD
TOLEDO, OH 43613
Lucas County (419) 475-9103
KATHERINE HERTZFELD
Nurse Practitioner (Family)
4925 JACKMAN RD
TOLEDO, OH 43613
Lucas County (419) 473-1715
JAMIE MARIE HALLOCK
Nurse Practitioner (Family)
4925 JACKMAN RD
TOLEDO, OH 43613
Lucas County (419) 251-5155

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 Lisa Marciniak's NPI number?

The NPI number for Lisa Marciniak is 1396252748. It was assigned to this individual provider in the NPPES registry on January 8, 2018.

Where is Lisa Marciniak located?

Lisa Marciniak practices at 4925 Jackman Rd, Toledo, OH 43613. The listed phone number is (419) 473-1715.

What is Lisa Marciniak's specialty?

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

Is Lisa Marciniak enrolled in Medicare?

Yes. Lisa Marciniak 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 Lisa Marciniak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Lisa Marciniak 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 Lisa Marciniak was last updated on May 16, 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.