EMILY M SEDLAK
NPI 1881289254
Nurse Practitioner - Family in Toledo, OH

Active since March 07, 2021PECOS EnrolledAccepts Medicare Assignment
2130 W CENTRAL AVE STE 103, TOLEDO, OH 43606(419) 291-3900(419) 479-6451 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 3, 2023, May 3, 2021, Mar 7, 2021 (3 updates tracked since 2021).

About Emily M Sedlak NPPES

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

EMILY M SEDLAK (NPI 1881289254) is an individual family provider in Toledo, Ohio, licensed in Ohio (APRN.CNP.0027315) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and maintains a secondary practice location in Bowling Green.

NPPES Registry Identity

NPI1881289254
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY M SEDLAK
Location Address2130 W CENTRAL AVE STE 103Toledo, OH 43606-3819
Mailing Address1639 Waterford DrBowling Green, OH 43402-1568 · (440) 221-2445
Fax(419) 479-6451
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2020
Enumeration DateMarch 7, 2021
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
✔ NPI 1881289254 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 OH · APRN.CNP.0027315
2130 W CENTRAL AVE STE 103, Toledo, OH 43606

Secondary Practice Location 1

Location 11639 Waterford DrBowling Green, OH 43402-1568 · Phone (440) 221-2445

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily M Sedlak 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 ID5193134252
PECOS Enrollment IDI20210503001334, I20210507000700
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Emily Sedlak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Michigan and Ohio enrollments
  • 109 clinicians in this Medicare group
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 303 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

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.
32 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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 Emily Sedlak's NPI number?

The NPI number for Emily Sedlak is 1881289254. It was assigned to this individual provider in the NPPES registry on March 7, 2021.

Where is Emily Sedlak located?

Emily Sedlak practices at 2130 W Central Ave Ste 103, Toledo, OH 43606. The listed phone number is (419) 291-3900.

What is Emily Sedlak's specialty?

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

Is Emily Sedlak enrolled in Medicare?

Yes. Emily Sedlak 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.

Which organizations bill Medicare for Emily Sedlak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Sedlak reassigns Medicare benefits to 2 organizations: Promedica Central Physicians (Toledo, OH) and Promedica Multi Specialty Physicians (Toledo, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Emily Sedlak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Sedlak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 3 other insurers list Emily Sedlak 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 Emily Sedlak affiliated with any hospitals?

According to CMS data, Emily Sedlak is affiliated with Promedica Monroe Regional Hospital and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Emily Sedlak was last updated on November 3, 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.