Joyce Ann Tebbe, ACNP
Individual provider Active NPI Acute Care Nurse Practitioner · Covington, OH
NPI 1881967271 · NPPES record last updated Aug 20, 2014
Key facts
- NPI
- 1881967271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- COA.13008-NP (OH)
- Practice address
- 2600 Mote Dr
Covington, OH 45318-1260 - Phone
- (937) 473-3025
- Fax
- (937) 473-3196
- NPI assigned
- Feb 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upper Valley Professional Corporation
Practice addresses (Care Compare)
450 N Hyatt St
Tipp City, OH 45371-1433
Phone (937) 669-9978
Hospital & facility affiliations
- Upper Valley Medical Center
- Wayne Hospital
- Miami Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.89 of 100
- Quality
- 83.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.79
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120524000368 | OH | Practitioner - Nurse Practitioner | 1254594559 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Valley Professional Corporation | Current |
Accepting new patients | |
| Trusted Health Care, Inc. | Past |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2600 Mote Dr
Covington, OH 45318
Phone (937) 473-3025
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
31 S Stanfield Rd
Ste 201
Troy, OH 45373
Phone (937) 440-7788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | COA.13008-NP | OH | Yes |
Addresses
Primary practice location
2600 Mote Dr
Covington, OH 45318-1260
Mailing address
2600 Mote Dr
Covington, OH 45318-1260
Phone (937) 473-3025
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0067404 | Medicaid | OH |
Other providers in Covington, OH
- Marla Marie Simon
- Becky K Smith
- Todd Aaron Smith
- Cheri Anne Strine
- Sarah Ashley Tangeman
- Guillermo G Trevino
- Michael Lee Vore Jr.
- Brayden Wiggins
- Melissa Ann Willis
- Heather Woehrmyer
All providers in Covington, OH · Acute Care Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.