NPIMap

Individual provider Active NPI

Michelle Lea Tobias, APRN, CNP

  • Family Nurse Practitioner
  • Rootstown, OH
National Provider Identifier
1679022149
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.020025 Issued in OH
Practice address
4211 State Route 44 Unit 1550
Rootstown, OH 44272-9733
Phone
(330) 325-7171
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.020025 OH Primary

Addresses

Primary practice location

4211 State Route 44 Unit 1550
Rootstown, OH 44272-9733

Mailing address

4211 State Route 44
Rootstown, OH 44272-9733
Phone (330) 325-7171

Other identifiers 1

IdentifierTypeStateIssuer
0202411MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170210001454 OH Practitioner - Nurse Practitioner 5294018560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Aug 25, 2025 Accepting new patients
Summa Physicians LLC CurrentSince Aug 25, 2025 Accepting new patients
Robert E. Bisel, DO & Associates, LLC CurrentSince Jan 2, 2024 Accepting new patients
Meridian Hospitals Corporation PastSince Aug 3, 2025 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

4211 State Route 44
Unit 1550
Rootstown, OH 44272
Phone (330) 325-7171

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

349 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 372-0260

667 Eastland Ave SE
Fl 5
Warren, OH 44484
Phone (330) 841-4750

Organizations & group practices 6

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

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1679022149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 STATE ROUTE 44",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729733",
            "telephone_number": "330-325-7171",
            "fax_number": "330-372-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 STATE ROUTE 44 UNIT 1550",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729733",
            "telephone_number": "330-325-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "MICHELLE",
        "middle_name": "LEA",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rootstown, OH

Sources for this page

Verify at the official NPI Registry.