Individual provider Active NPI

David Voog Tobin, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Anaconda, MT
National Provider Identifier
1992496921
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704318692 Issued in MI
Practice address
118 E 7TH St Ste 2Ca
Anaconda, MT 59711-2948
Phone
(406) 209-9852
Fax
(406) 747-2352
NPI assigned
May 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704318692 MI Primary

Addresses

Primary practice location

118 E 7TH St Ste 2Ca
Anaconda, MT 59711-2948

Mailing address

118 E 7TH St Ste 2Ca
Anaconda, MT 59711-2948
Phone (406) 209-9852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MT2 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
I20230815002377 MI Practitioner - Nurse Practitioner 0042672594 Reassigns benefits to 2 organizations
I20260601000020 MT Practitioner - Nurse Practitioner 0042672594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pure Psychiatry of Michigan PLLCGroup PAC ID 1254741283, 102 clinicians

Practice addresses (Care Compare)

34841 Veterans PLZ
Wayne, MI 48184-1733
Phone (313) 292-7640

375 Eureka Rd
Suite B
Wyandotte, MI 48192-5839
Phone (734) 258-8386

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704318692MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Health Management Psychiatric/Mental Health CurrentSince Mar 17, 2024 Accepting new patients
Pure Psychiatry of Michigan PLLC CurrentSince Jul 17, 2023 Accepting new patients

Locations

17950 Woodward Ave
Detroit, MI 48203
Phone (313) 401-0929

2422 Jolly Rd
Ste 100A
Okemos, MI 48864
Phone (517) 853-1358

34841 Veterans Plz
Wayne, MI 48184
Phone (313) 292-7640

Interoperability endpoints

  • Direct secure messaging: purepsychiatryofmichigan.davidtobin@153418.advancedmd-direct.com
  • Direct secure messaging: vitalhealthmanagement.davidtobin@157655.advancedmd-direct.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": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1992496921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E 7TH ST STE 2CA",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112948",
            "telephone_number": "406-209-9852",
            "fax_number": "406-747-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E 7TH ST STE 2CA",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112948",
            "telephone_number": "406-209-9852",
            "fax_number": "406-747-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "DAVID",
        "middle_name": "VOOG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-19",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704318692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaconda, MT

Sources for this page

Verify at the official NPI Registry.