TIFFANY MARIE FABIAN (CNM) – Midwife, NPI 1174395933

TIFFANY MARIE FABIAN (CNM) is a healthcare provider. based in Boardman, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNM. They hold a License No. APRN.CNM.0019602 (OH). The NPI Number for TIFFANY MARIE FABIAN (CNM) is 1174395933

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY MARIE FABIAN (CNM)
NPI
1174395933
Phone
(330) 729-7901
Address
8423 MARKET ST FL 3
Enumeration Date
25 October 2023
Last Update Date
4 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142938000
Graduation Year
2023 (3 years ago)
PAC ID
4688018203
Group Practice PAC ID
3476950296
Professional Enrollment ID
I20240221004179
Address ID
OH432101240CO410XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TIFFANY MARIE FABIAN (CNM)

  • 8423 MARKET ST FL 3

    BOARDMAN, OH 445126778

    Phone: (330) 729-7901

    Fax: (330) 729-7915

    Type: Mailing

  • 819 Southwestern Run Ste 1

    Poland, OH 445143623

    Phone: (330) 629-9991

    Fax: (330) 629-9992

    Type: Location

  • 8401 Market St

    Boardman, OH 445126725

    Phone: (330) 729-4350

    Fax: (330) 729-4351

    Type: Location

  • 667 Eastland Ave SE Fl 2

    Warren, OH 444844503

    Phone: (330) 841-4579

    Fax: (330) 841-4920

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240221004179INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44512)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476950296View full group profile
NameSpecialtyState
Nurse PractitionerOH
Cardiovascular Disease (Cardiology)OH
Nurse PractitionerOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Family PracticeIA
Nurse PractitionerPA
Radiation OncologyPA
H O S P I T A L I S TOH
N E U R O L O G YOH

Reviews

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Frequently asked questions

Can I verify TIFFANY MARIE FABIAN (CNM) with an NPI only?
You can start verification with NPI 1174395933 for TIFFANY MARIE FABIAN (CNM), then check state licensing separately.
Is TIFFANY MARIE FABIAN (CNM) still practicing?
TIFFANY MARIE FABIAN (CNM) is currently listed as active in the public NPI registry.
What healthcare role does TIFFANY MARIE FABIAN (CNM) hold?
Scheduling teams often label TIFFANY MARIE FABIAN (CNM) under Midwife. Clinical services aligned with this taxonomy classification.
What address line appears for TIFFANY MARIE FABIAN (CNM)?
TIFFANY MARIE FABIAN (CNM)'s geographic hint is Boardman, Ohio in our summary view.
Is the information about TIFFANY MARIE FABIAN (CNM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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