Individual provider Active NPI

Samantha Marie Tobin, APRN,FNP-C

  • Family Nurse Practitioner
  • Beachwood, OH
National Provider Identifier
1922759018
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0030573 Issued in OH
Practice address
3700 Park East Dr Ste 450
Beachwood, OH 44122-4318
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11036201 FL
Family Nurse Practitioner 363LF0000X C-APN.0103525-C-NP CO
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X APRN.CNP.0030573 OH Primary

Addresses

Primary practice location

3700 Park East Dr Ste 450
Beachwood, OH 44122-4318

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

4090 E Galbraith Rd
Cincinnati, OH 45236-2324
Phone (513) 853-9700

Other practice location 2

12110 Lebanon Rd
Sharonville, OH 45241-1739
Phone (513) 853-9700

Other practice location 3

10529 Loveland Madeira Rd
Loveland, OH 45140-8963
Phone (513) 853-9700

Other practice location 4

5403 N Bend Rd
Cincinnati, OH 45247-7620
Phone (513) 853-9700

Other practice location 5

4605 Montgomery Rd
Norwood, OH 45212-2607
Phone (513) 853-9700

Other practice location 6

9775 Colerain Ave
Cincinnati, OH 45251-1442
Phone (513) 853-9700

Other practice location 7

719 Ohio Pike
Cincinnati, OH 45245-2131
Phone (513) 853-9700

Other identifiers 1

IdentifierTypeStateIssuer
0383163MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220211002105 OH Practitioner - Nurse Practitioner 0345633483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
88.71
Promoting interoperability
100
Improvement activities
40
Cost
74.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0103525-C-NPCOMDFamily Nurse Practitioner
APRN.CNP.0030573OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth U LLC Single Specialty CurrentSince Jan 18, 2022 Accepting new patients
Trihealth G LLC Single Specialty CurrentSince Jul 31, 2023 Accepting new patients
Trihealth G, LLC CurrentSince Jul 31, 2023 Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

5403 N Bend Rd
Cincinnati, OH 45247
Phone (513) 662-1459

9775 Colerain Ave
Cincinnati, OH 45251
Phone (513) 385-6900

719 Ohio Pike
Cincinnati, OH 45245
Phone (513) 753-7578

4090 E Galbraith Rd
Deer Park, OH 45236
Phone (513) 853-9700

10529 Loveland Madeira Rd
Loveland, OH 45140
Phone (513) 683-5615

4605 Montgomery Rd
Norwood, OH 45212
Phone (513) 731-0062

12110 Lebanon Rd
Sharonville, OH 45241
Phone (513) 853-9700

8020 Liberty Way
Fl 1
West Chester, OH 45069
Phone (513) 777-8300

Interoperability endpoints

  • Direct secure messaging: stobin56126@direct.trihealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1922759018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 PARK EAST DR STE 450",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224318",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4090 E Galbraith Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452362324",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12110 Lebanon Rd",
            "address_purpose": "LOCATION",
            "city": "Sharonville",
            "state": "OH",
            "postal_code": "452411739",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10529 Loveland Madeira Rd",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "OH",
            "postal_code": "451408963",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5403 N Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452477620",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4605 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "OH",
            "postal_code": "452122607",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9775 Colerain Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452511442",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 Ohio Pike",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452452131",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "credential": "APRN,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036201",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0103525-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0030573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0383163",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.