Sarah Marie Mertz-Lisiecki, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

4704357828 Issued in MI

Practice address

24010 Majestic St
Oak Park, MI 48237-3713

Phone

(313) 680-6687

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Planned Parenthood of Michigan

  • Ambulatory Family Planning Facility
  • Ann Arbor, MI
  • NPI 1366525370
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1881376689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24010 MAJESTIC ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373713",
            "telephone_number": "313-680-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24010 MAJESTIC ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373713",
            "telephone_number": "313-680-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTZ-LISIECKI",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704357828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medsource Family Pharmacy LLC
• Michael Steven Meeron, D.C.
• Megan Meloche
• Eric Steven Mendelsohn, DPM
• Mercury Drugs LLC
• Emlee Ann Metevia
• Metro Dental Consultants, PLLC
• Metro Home Health Care, Inc
• Metropolitan Rehabilitation Clinics, Inc.
• Michelle Calhoun, D.O., P.C.

• Women's Health Nurse Practitioner in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Women's Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.