LISA MARIE MICHALSKI
NPI 1619702040
Nurse Practitioner - Family in Mishawaka, IN

Q: What is Lisa Michalski's NPI number?

The NPI number for Lisa Michalski is 1619702040. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Q: What is Lisa Michalski's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Michalski was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since September 05, 2024PECOS EnrolledAccepts Medicare Assignment

611 E DOUGLAS RD, MISHAWAKA, IN 46545(574) 335-6700 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Marie Michalski NPPES

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

LISA MARIE MICHALSKI (NPI 1619702040) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (2023058906) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619702040

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLISA MARIE MICHALSKI

Location Address611 E DOUGLAS RDMishawaka, IN 46545-1464

Mailing Address925 Potter Point DrSouth Bend, IN 46614-3469 · (574) 299-3863

Phone(574) 335-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 5, 2024

NPPES CertifiedSeptember 5, 2024

✔ NPI 1619702040 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 IN · 2023058906

611 E DOUGLAS RD, Mishawaka, IN 46545

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Marie Michalski 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 ID3375075096

PECOS Enrollment IDI20241018000543

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.

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150012

Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County

Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150076

Location1915 Lake AvePlymouth, IN 46563 · Marshall County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 20

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

MRS. PAMELA R CHANEY RN CMEP

Registered Nurse (Plastic Surgery)

611 E DOUGLAS RD
MISHAWAKA, IN 46545

St. Joseph County (574) 968-3510

MIDWEST EYE CONSULTANTS, P.C.

Ophthalmology (Retina Specialist)

611 E DOUGLAS RD, SUITE 102
MISHAWAKA, IN 46545

St. Joseph County (260) 569-9550

NICHOLAS JAMES BUTTERMORE

Student in an Organized Health Care Education/Training Program

611 E DOUGLAS RD
MISHAWAKA, IN 46545

St. Joseph County (574) 335-6500

MIDWEST ORTHOTIC SERVICES LLC

Prosthetic/Orthotic Supplier

611 E DOUGLAS RD
MISHAWAKA, IN 46545

St. Joseph County (574) 204-2416

DAVID WYNCOTT MD

Family Medicine

611 E DOUGLAS RD, SUITE 407
MISHAWAKA, IN 46545

St. Joseph County (574) 335-6500

MIDWEST MEDICAL GROUP, LLC

Internal Medicine (Cardiovascular Disease)

611 E DOUGLAS RD, SUITE 208
MISHAWAKA, IN 46545

St. Joseph County (574) 232-5928

DR. AJAZUDDIN Z. SHAIKH M.D.

Internal Medicine (Cardiovascular Disease)

611 E DOUGLAS RD, STE 208
MISHAWAKA, IN 46545

St. Joseph County (574) 232-5928

KEVIN R ERICSON MD

Family Medicine

611 E DOUGLAS RD, STE 407
MISHAWAKA, IN 46545

St. Joseph County (574) 335-6500

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 Michalski's NPI number?

The NPI number for Lisa Michalski is 1619702040. It was assigned to this individual provider in the NPPES registry on September 5, 2024.

Where is Lisa Michalski located?

Lisa Michalski practices at 611 E Douglas Rd, Mishawaka, IN 46545. The listed phone number is (574) 335-6700.

What is Lisa Michalski's specialty?

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

Is Lisa Michalski enrolled in Medicare?

Yes. Lisa Michalski 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 Michalski accept?

Health plans from CareSource list Lisa Michalski 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 Lisa Michalski affiliated with any hospitals?

According to CMS data, Lisa Michalski is affiliated with Saint Joseph Regional Medical Center and Saint Joseph Regional Medical Center - Plymouth.

When was this NPI record last updated?

The NPPES record for Lisa Michalski was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.