MRS. KARISSA ANN-LISICKY JENSEN CNM
NPI 1669161816
Midwife in Cleveland, OH

Active since May 03, 2023PECOS EnrolledAccepts Medicare Assignment
9500 EUCLID AVE, CLEVELAND, OH 44195(800) 223-2273 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2023, May 18, 2023, May 3, 2023 (3 updates tracked since 2023).

About Mrs. Karissa Ann-lisicky Jensen Cnm NPPES

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

MRS. KARISSA ANN-LISICKY JENSEN CNM (NPI 1669161816) is an individual midwife in Cleveland, Ohio, licensed in Ohio (CNM07959) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Fairview Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669161816
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMRS. KARISSA ANN-LISICKY JENSENCredential: CNM
Location Address9500 EUCLID AVECleveland, OH 44195-2203
Mailing Address39424 Detroit RdAvon, OH 44011-2129 · (440) 221-0881
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 3, 2023
Last NPPES UpdateJune 15, 20233 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
NPI 1669161816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License Licensed in OH · CNM07959
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
9500 EUCLID AVE, Cleveland, OH 44195

Accepted 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

Mrs. Karissa Ann-lisicky Jensen Cnm 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 ID8921466939
PECOS Enrollment IDI20230623001652
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.

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

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.

Dietitian, Registered
9500 EUCLID AVE, M17
CLEVELAND, OH 44195
Urology (Urogynecology and Reconstructive Pelvic Surgery)
9500 EUCLID AVE, Q10-1
CLEVELAND, OH 44195
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195
Nurse Practitioner
9500 EUCLID AVE
CLEVELAND, OH 44195
Nurse Anesthetist, Certified Registered
9500 EUCLID AVE
CLEVELAND, OH 44195
Nurse Practitioner (Acute Care)
9500 EUCLID AVE, SUITE RC25
CLEVELAND, OH 44195
Nurse Practitioner (Critical Care Medicine)
9500 EUCLID AVE, G58
CLEVELAND, OH 44195
Surgery
9500 EUCLID AVE
CLEVELAND, OH 44195

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 Karissa Jensen's NPI number?

The NPI number for Karissa Jensen is 1669161816. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Karissa Jensen located?

Karissa Jensen practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (800) 223-2273.

What is Karissa Jensen's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Karissa Jensen enrolled in Medicare?

Yes. Karissa Jensen 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 Karissa Jensen accept?

Health plans from Oscar Insurance Corporation of Ohio list Karissa Jensen 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 Karissa Jensen affiliated with any hospitals?

According to CMS data, Karissa Jensen is affiliated with Fairview Hospital and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Karissa Jensen was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.