Individual provider Active NPI

Timothy L Ybarra, CNP

  • Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1396252946
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.022047 Issued in OH
Practice address
2940 N McCord Rd
Toledo, OH 43615-1753
Phone
(419) 842-3000
Fax
(419) 291-9883
NPI assigned
Jan 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704339712 MI
Nurse Practitioner 363L00000X APRN.CNP.022047 OH Primary

Addresses

Primary practice location

2940 N McCord Rd
Toledo, OH 43615-1753

Mailing address

1 Seagate Ste 800
Toledo, OH 43604-1558

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tybarra49260@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20180202001144 MI Practitioner - Nurse Practitioner 5193085587 Reassigns benefits to 1 organization
I20180212000741 OH Practitioner - Nurse Practitioner 5193085587 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2940 N McCord Rd
Toledo, OH 43615-1753
Phone (419) 842-3000

770 Riverside Ave
Suite 106
Adrian, MI 49221-1465
Phone (517) 266-0525

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704339712MIMDNurse Practitioner
APRN.CNP.022047OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Toledo Hospital CurrentSince May 18, 2018 Accepting new patients
Wood Health Company LLC CurrentSince Jun 22, 2018 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC CurrentSince Feb 1, 2018 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC CurrentSince Feb 1, 2018 Accepting new patients
The Toledo Hospital CurrentSince May 18, 2018 Accepting new patients
Bay Park Community Hospital CurrentSince May 18, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Promedica Central Physicians Nurse Practitioner Past Accepting new patients

Locations

770 Riverside Ave
Ste 106
Adrian, MI 49221
Phone (517) 266-0525

5640 N Adrian Hwy
Ste A
Adrian, MI 49221
Phone (517) 577-0525

730 N Macomb St
Ste 429
Monroe, MI 48162
Phone (313) 242-7060

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

715 S Taft Ave
Ste 1
Fremont, OH 43420

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

2751 Bay Park Dr
Ste 305
Oregon, OH 43616
Phone (419) 690-7689

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

5700 Monroe St
Unit 208
Sylvania, OH 43560

5308 Harroun Rd
Ste 165
Sylvania, OH 43560
Phone (419) 824-5162

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2940 N McCord Rd
Toledo, OH 43615
Phone (419) 842-3000

4041 W Sylvania Ave
Ste 204
Toledo, OH 43623
Phone (419) 725-3300

725 S Shoop Ave
Ste G101
Wauseon, OH 43567

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tybarra49260@direct.promedica.org

Organizations & group practices 9

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 7

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": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1396252946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE STE 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 N MCCORD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151753",
            "telephone_number": "419-842-3000",
            "fax_number": "419-291-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YBARRA",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-04",
        "last_updated": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704339712",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tybarra49260@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "100 Madison Ave",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436041516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.