JILLIAN LISIAKOWSKI APRN
NPI 1609475151
Nurse Practitioner - Family in Orange City, FL

Q: What is Jillian Lisiakowski's NPI number?

The NPI number for Jillian Lisiakowski is 1609475151. It was assigned to this individual provider in the NPPES registry on October 25, 2020.

Q: What is Jillian Lisiakowski's specialty?

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

Active since October 25, 2020PECOS EnrolledAccepts Medicare Assignment

2824 ENTERPRISE RD, ORANGE CITY, FL 32763(386) 774-7411(386) 774-7412 Get Directions Write a Review

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

Record update history: May 12, 2025, Jun 4, 2024, Feb 8, 2024 and 4 more (7 updates tracked since 2020).

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About Jillian Lisiakowski Aprn NPPES

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

JILLIAN LISIAKOWSKI APRN (NPI 1609475151) is an individual family provider in Orange City, Florida, licensed in Florida (APRN11030648) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609475151

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJILLIAN LISIAKOWSKICredential: APRN

Location Address2824 ENTERPRISE RDOrange City, FL 32763-8428

Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 274-8200

Phone(386) 774-7411

Fax(386) 774-7412

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 25, 2020

Last NPPES UpdateJuly 16, 20257 updates tracked since enumeration

NPPES CertifiedJuly 16, 2025

✔ NPI 1609475151 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 FL · APRN11030648

2824 ENTERPRISE RD, Orange City, FL 32763

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Secondary Practice Locations 2

Location 1169 Madison Ave Ste 2817New York, NY 10016-5101 · Phone (888) 553-2823

Location 26060 Lakeside Commons DrMacon, GA 31210-5778 · Phone (478) 745-9204 · Fax (478) 745-9321

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, Oscar Health Maintenance Organization of Florida and more.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

Jillian Lisiakowski Aprn 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 ID4880063569

PECOS Enrollment IDI20240612002080

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 8

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.

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

585 services103 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

236 services107 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

185 services119 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

154 services103 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

113 services30 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

72 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32763 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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Other Providers at the Same Location NPPES 11

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

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