Tina Marie Tiberio, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN269178 Issued in OH

Practice address

200 Luray Dr
Wintersville, OH 43953-3973

Phone

(304) 797-7733

NPI assigned

Jan 9, 2013

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

Enrolled in OH, WV2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Change IncorporatedGroup PAC ID 1759325327, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
• Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Change, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Weirton, WV
  • NPI 1245244367

  OH

  Medicare reassignment Care Compare group NPD
• Change Incorporated

  • Federally Qualified Health Center (FQHC)
  • Wellsburg, WV
  • NPI 1063918472
  NPD (past)
• Change Incorporated

  • Federally Qualified Health Center (FQHC)
  • Newell, WV
  • NPI 1174074686
  NPD (past)

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

• Weirton Medical Center, Inc

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947
  Care Compare affiliation
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1346587409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 WEST ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624637",
            "telephone_number": "304-797-7733",
            "fax_number": "304-797-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LURAY DR",
            "city": "WINTERSVILLE",
            "state": "OH",
            "postal_code": "439533973",
            "telephone_number": "304-797-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBERIO",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "RN269178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Wintersville, OH
• Providers in Wintersville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.