Individual provider Active NPI

Stephanie Lauren Tobin, NP

  • Nurse Practitioner
  • North Andover, MA
National Provider Identifier
1891402236
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG08220007 Issued in MA
Practice address
575 Turnpike St Ste 25
North Andover, MA 01845-5937
Phone
(978) 290-4646
Fax
(978) 290-4822
NPI assigned
Nov 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG08220007 MA Primary

Addresses

Primary practice location

575 Turnpike St Ste 25
North Andover, MA 01845-5937

Mailing address

575 Turnpike St Ste 25
North Andover, MA 01845-5937
Phone (978) 290-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20230106001956 MA Practitioner - Nurse Practitioner 6709256720 Reassigns benefits to 1 organization
I20260409003136 NH Practitioner - Nurse Practitioner 6709256720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Community Medical Services PCGroup PAC ID 5991016933, 11 clinicians

Practice addresses (Care Compare)

575 Turnpike St
Suite 25
North Andover, MA 01845-5937
Phone (978) 290-4646

674 W Hollis St
Nashua, NH 03062-1347
Phone (978) 290-4646

Hospital & facility affiliations

  • Caretenders Home health agency, Needham Heights, MA, CCN 227269
  • Accentcare Home Health of Massachusetts Home health agency, Fall River, MA, CCN 227203
  • Bayada Home Health Care, Inc Home health agency, Wilmington, MA, CCN 227576
  • Elara Caring Home health agency, Newburyport, MA, CCN 227503
  • Care Dimensions, Inc Hospice, Danvers, MA, CCN 221522

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG08220007MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Community Medical Services PC CurrentSince Dec 5, 2022 Accepting new patients

Locations

575 Turnpike St
Ste 25
North Andover, MA 01845
Phone (978) 290-4646

Organizations & group practices 1

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 8

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": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1891402236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST STE 25",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455937",
            "telephone_number": "978-290-4646",
            "fax_number": "978-290-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST STE 25",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455937",
            "telephone_number": "978-290-4646",
            "fax_number": "978-290-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "STEPHANIE",
        "middle_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "AG08220007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

Verify at the official NPI Registry.