Individual provider Active NPI

Jenifer F. Tabin, CNM

  • Midwife
  • Cleveland, OH
National Provider Identifier
1083624290
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
02988NM Issued in OH
Practice address
3311 Broadview Rd
Cleveland, OH 44109-3315
Phone
(216) 661-1545
Fax
(216) 661-2238
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN241441 OH
Midwife 176B00000X 02988NM OH Primary

Addresses

Primary practice location

3311 Broadview Rd
Cleveland, OH 44109-3315

Mailing address

25350 Rockside Rd
Bedford Heights, OH 44146-7110
Phone (440) 232-8381

Other identifiers 1

IdentifierTypeStateIssuer
995259MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenifertabin@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090911000468 OH Practitioner - Certified Nurse Midwife (CNM) 6800941063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9000 Mentor Ave
Suite 215
Mentor, OH 44060-4498
Phone (216) 383-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN241441OHMDRegistered Nurse
02988NMOHMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Dec 1, 2017 Accepting new patients
University Primary Care Practices Inc CurrentSince Dec 1, 2017 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

890 W Main St
Ste 102
Geneva, OH 44041
Phone (440) 205-5870

9000 Mentor Ave
Ste 215
Mentor, OH 44060
Phone (440) 205-5870

Interoperability endpoints

  • Direct secure messaging: jtabin28041@ehrdirect.uhhospitals.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1083624290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25350 ROCKSIDE RD",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441467110",
            "telephone_number": "440-232-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 BROADVIEW RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441093315",
            "telephone_number": "216-661-1545",
            "fax_number": "216-661-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABIN",
        "first_name": "JENIFER",
        "middle_name": "F.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN241441",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "OH",
            "license": "02988NM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "995259",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenifertabin@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "9000 Mentor Ave Ste 215",
            "city": "Mentor",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440604498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.