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Deactivated NPI 1285291476 Deactivated / Inactive NPI Male Practitioner

Michael Lisnerski , RN, BSN, CNOR, MBA

Registered Nurse • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Lisnerski has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2019
NPI Deactivation Date November 13, 2023
Total Practice Duration ~4 Years of Practice (2019 – 2023)

Professional Overview & Biography Verified Profile Summary

Michael Lisnerski, RN, BSN, CNOR, MBA was a registered Registered Nurse practicing in Jacksonville, FL. Throughout an active medical career spanning 4 years, Michael Lisnerski provided care at the practice location at 1350 13TH AVE S until profile deactivation on 2023-11-13.

Practice Location & Contact Primary Location

Practice Address

1350 13th Ave S

Jacksonville, FL 322503203

Telephone 9046272900
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
263 Specialists

Practicing in Jacksonville, FL (4872 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License FL RN9446753

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Shauna Travis , RN

Registered Nurse

NPI 1033862669

Registered Nurse

Jillian Rosario , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1144106279

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Timothy O'shaughnessy , MD

Anesthesiology - Critical Care Medicine

NPI 1306012232

Doctor of Medicine (M.D.)

Rosemary Bossow , RD, LDN

Dietitian, Registered

NPI 1487876504

Registered Dietitian, Licensed Dietitian Nutritionist

Dr. Luis Millan , DPT

Physical Therapist

NPI 1497068183

Doctor of Physical Therapy

Harricia Samuels

Registered Nurse

NPI 1568081651

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 13, 2023

Record deactivated on November 13, 2023

NPI Profile Active May 22, 2019

NPI status registered as active in NPPES database

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Updated Practice Location May 22, 2019

Registered at 1350 13TH AVE S, JACKSONVILLE, FL 322503203 (Tel: 9046272900)

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Updated Business Mailing Address May 22, 2019

Registered at 6565 SANDLERS PRESERVE DR, JACKSONVILLE, FL 322221477

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Provider Name / Credentials Updated May 22, 2019

Recorded as MICHAEL LISNERSKI, RN, BSN, CNOR, MBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2019

Registered Nurse (License #RN9446753 in FL)

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Initial NPI Registration & Enumeration May 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285291476
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2019
Last Update: May 22, 2019
Deactivation Date: November 13, 2023

Mailing Address

6565 Sandlers Preserve Dr

Jacksonville, FL 322221477

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.