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MONICA L VASQUEZ CNP
NPI 1982203162
Nurse Practitioner in Sylvania, OH

Active since October 20, 2020PECOS EnrolledAccepts Medicare Assignment
5308 HARROUN RD STE 55, SYLVANIA, OH 43560(419) 824-6599(419) 882-3870 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, Oct 20, 2020 (2 updates tracked since 2020).

About Monica L Vasquez Cnp NPPES

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

MONICA L VASQUEZ CNP (NPI 1982203162) is an individual nurse practitioner in Sylvania, Ohio, licensed in Ohio (APRN.CNP.0027296) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of University Of Toledo College Of Medicine (2020).

NPPES Registry Identity

NPI1982203162
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMONICA L VASQUEZCredential: CNP
Location Address5308 HARROUN RD STE 55Sylvania, OH 43560-2174
Mailing Address333 N Summit St Fl 7Toledo, OH 43604-1531 · (567) 585-1964
Phone(419) 824-6599
Fax(419) 882-3870
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2020
Enumeration DateOctober 20, 2020
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1982203162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in OH · APRN.CNP.0027296
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5308 HARROUN RD STE 55, Sylvania, OH 43560
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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 and more.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

Monica L Vasquez Cnp 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 ID1658781570
PECOS Enrollment IDI20201105002586
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

3

Medicare enrollment records show Monica Vasquez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Toledo Hospital
0.5 mi
Internal Medicine
5855 MONROE ST
Sylvania, OH 43560
  • Reassigned Medicare billing, Ohio enrollment
  • 375 clinicians in this Medicare group
NPI 1033546981 (419) 824-7334
Promedica Central Physicians
9.2 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Michigan and Ohio enrollments
  • 109 clinicians in this Medicare group
NPI 1043270150 (567) 585-1964
Promedica Multi Specialty Physicians
9.2 mi
Family Medicine
100 MADISON AVE, MSC-S38805
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 303 clinicians in this Medicare group
NPI 1306105150 (567) 585-1964

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services44 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services22 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.
23 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee 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

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Fostoria Community Hospital

Critical Access Hospitals · Fostoria, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361318
Location501 Van Buren StreetFostoria, OH 44830 · Seneca County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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.

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.

QUNFANG LI MD
Internal Medicine (Hematology & Oncology)
5308 HARROUN RD STE 55
SYLVANIA, OH 43560
Lucas County (419) 824-6599
MARTHA G SHIPE CNP
Nurse Practitioner (Family)
5308 HARROUN RD STE 55
SYLVANIA, OH 43560
Lucas County (419) 824-6599
FENG JIANG M.D.
Internal Medicine (Hematology & Oncology)
5308 HARROUN RD STE 55
SYLVANIA, OH 43560
Lucas County (419) 824-6599
AHMED G. ELSAYED M.D.
Internal Medicine (Hematology)
5308 HARROUN RD STE 55
SYLVANIA, OH 43560
Lucas County (419) 824-6599
DR. ABHIJIT B SASTE
Internal Medicine (Hematology & Oncology)
5308 HARROUN RD STE 55
SYLVANIA, OH 43560
Lucas County (419) 824-6599
MERCEDES CANNON
Nurse Practitioner (Acute Care)
5308 HARROUN RD STE 55
SYLVANIA, OH 43560
Lucas County (419) 824-6599
DR. ALI MEHMOOD RAUFI M.D.
Internal Medicine
5308 HARROUN RD STE 55
SYLVANIA, OH 43560
Lucas County (419) 824-6599
AMANDA NARTKER APRN-CNP
Nurse Practitioner
5308 HARROUN RD STE 55
SYLVANIA, OH 43560
Lucas County (419) 824-6599

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 Monica Vasquez's NPI number?

The NPI number for Monica Vasquez is 1982203162. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Where is Monica Vasquez located?

Monica Vasquez practices at 5308 Harroun Rd Ste 55, Sylvania, OH 43560. The listed phone number is (419) 824-6599.

What is Monica Vasquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Monica Vasquez enrolled in Medicare?

Yes. Monica Vasquez 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 Monica Vasquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Vasquez reassigns Medicare benefits to 3 organizations: The Toledo Hospital (Sylvania, OH), 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 Monica Vasquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Vasquez 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 4 other insurers list Monica Vasquez 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 Monica Vasquez affiliated with any hospitals?

According to CMS data, Monica Vasquez is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Toledo Hospital, Bay Park Community Hospital and Fostoria Community Hospital.

When was this NPI record last updated?

The NPPES record for Monica Vasquez 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 2 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.