Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Marciniak

Individual provider Nurse Practitioner · NPI 1396252748

Lisa Marciniak is a Nurse Practitioner in Toledo, Ohio. Qualified in 2017, 9 years ago. Practices with The Little Clinic of Ohio LLC, a 219-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

4925 Jackman Rd
Toledo, OH 43613-3574
Phone: (419) 473-1715
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 021694 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.021694 (OH)

Record details

NPI number1396252748
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 8, 2018
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025
Mailing addressPo Box 932958, Cleveland, OH 44193-0028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Little Clinic Of Ohio Llc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Toledo