CHELSEA JOLINE LISK – Family Nurse Practitioner, NPI 1376188425

CHELSEA JOLINE LISK is a healthcare provider. based in Mc donald, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. APRN.CNP.025663 (OH). The NPI Number for CHELSEA JOLINE LISK is 1376188425

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
CHELSEA JOLINE LISK
NPI
1376188425
Phone
(330) 369-9947
Address
332 OHIO AVE
Enumeration Date
13 November 2019
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
44338393001055
Graduation Year
2019 (7 years ago)
PAC ID
8921436965
Group Practice PAC ID
2466871694
Professional Enrollment ID
I20200325001213
Address ID
OH441142309CL200XXSQXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:6State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for CHELSEA JOLINE LISK

  • 332 OHIO AVE

    MC DONALD, OH 444371932

    Phone: (330) 369-9947

    Type: Mailing

  • 7067 TIFFANY BLVD STE 280

    YOUNGSTOWN, OH 445141803

    Phone: (330) 227-8496

    Type: Location

  • 807 SOUTHWESTERN RUN

    YOUNGSTOWN, OH 445143688

    Phone: (330) 729-0059

    Type: Location

  • 6449 KLINES DR

    GIRARD, OH 444201268

    Phone: (330) 369-9947

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200325001213INurse PractitionerOHTBD
I20250402000202INurse PractitionerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44437)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466871694View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Nurse PractitionerTN
Nurse PractitionerIN
Nurse PractitionerMD
Nurse PractitionerIL
Nurse PractitionerOH
Nurse PractitionerIL
Nurse PractitionerNJ
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is CHELSEA JOLINE LISK listed with a National Provider Identifier?
Yes — CHELSEA JOLINE LISK has NPI 1376188425 on file in the registry.
Is CHELSEA JOLINE LISK still an active registrant?
CHELSEA JOLINE LISK carries an active NPI according to the public dataset.
What area of care is associated with CHELSEA JOLINE LISK?
CHELSEA JOLINE LISK's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for CHELSEA JOLINE LISK?
Travel planning: use Mc Donald, Ohio as the reference point for CHELSEA JOLINE LISK, then confirm.
When was this NPI issued?
Enumeration for CHELSEA JOLINE LISK is noted as November 13, 2019 where the registry provides it.

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