Jillian Lisiakowski, APRN in Orange City, FL - Medicare Nurse Practitioner

Jillian Lisiakowski, APRN is a medicare enrolled "Nurse Practitioner - Family" in Orange City, Florida. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Careathome Medical Practice Ky, Careathome Medical Practice, Careathome Medical Practice Ky and her current practice location is 2824 Enterprise Rd, Orange City, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 774-7411.

Jillian Lisiakowski is licensed to practice in Florida (license number APRN11030648) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609475151.

Contact Information

	Jillian Lisiakowski, APRN
	2824 Enterprise Rd, Orange City, FL 32763-8428
	(386) 774-7411
	(386) 774-7412

Map and Direction

Provider's Profile

Full Name	Jillian Lisiakowski
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	2824 Enterprise Rd, Orange City, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jillian Lisiakowski graduated from nursing school in 2022

NPI Data:

NPI Number: 1609475151
Provider Enumeration Date: 10/25/2020
Last Update Date: 07/16/2025

Medicare PECOS Information:

PECOS PAC ID: 4880063569
Enrollment ID: I20240612004505

Medical Identifiers

Medical identifiers for Jillian Lisiakowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609475151	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11030648 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Careathome Medical Practice Ky	6800202193	32
Careathome Medical Practice	4183035876	66
Careathome Medical Practice Ky	6800202193	32

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jillian Lisiakowski allows following entities to bill medicare on her behalf.

Entity Name	Careathome Medical Practice Ky
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467040345 PECOS PAC ID: 6800202193 Enrollment ID: O20211103001213

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jillian Lisiakowski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jillian Lisiakowski, APRN Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200	Jillian Lisiakowski, APRN 2824 Enterprise Rd, Orange City, FL 32763-8428 Ph: (386) 774-7411

Reviews and Comments

Nurse Practitioner Nurses in Orange City, FL

Ashley Nicole Briggs, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2777 Enterprise Rd Ste 4, Orange City, FL 32763 Phone: 386-774-2550 Fax: 386-774-5140
Mrs. Juliet Omonme Agbator, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 955 Town Center Dr Ste 100, Orange City, FL 32763 Phone: 386-228-0661
Ms. Traci Lynn Zimmer, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 341 W Minnesota Ave, Orange City, FL 32763 Phone: 386-316-5439
Mrs. Cristyl Rachelle Mcclure, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-917-5508
Mrs. Lois Kimberly Steinbaum, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2864 Wellness Ave Ste 200, Orange City, FL 32763 Phone: 386-775-0333
Marissa Wagner, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2884 Wellness Ave Ste 100, Orange City, FL 32763 Phone: 386-668-2221
Cameka Campbell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1133 Saxon Blvd, Orange City, FL 32763 Phone: 386-878-4137

Jillian Lisiakowski, APRN - Medicare Nurse Practitioner in Orange City, FL