JENNIFER L TOBIN (PA) – Physician Assistant, NPI 1184616179
Physician Assistant
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NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
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Provider Addresses for JENNIFER L TOBIN (PA)
Bellefontaine Avenue, Lima, Allen County, Ohio, 45804, United States
LIMA, OH 458042893
Phone: (419) 998-8244
Fax: (419) 998-8243
Type: Location
11143 Parkview Plaza Dr Ste 100
Fort Wayne, IN 468451728
Phone: (260) 266-7400
Fax: (260) 266-7439
Type: Location
Lima Memorial Hospital, 1001, Bellefontaine Avenue, Lima, Allen County, Ohio, 45804, United States
LIMA, OH 458042800
Phone: (419) 998-4575
Fax: (419) 998-4586
Type: Mailing
1003 Bellefontaine Ave
Suite 125
Lima, OH 458042868
Phone: (419) 998-8207
Fax: (419) 998-8216
Type: Location
1500 Provident Dr Ste B
Warsaw, IN 465803297
Phone: (574) 269-8301
Fax: (574) 269-8302
Type: Location
11136 Parkview Circle Dr
Fort Wayne, IN 468451730
Phone: (260) 484-8551
Fax: (260) 482-5060
Type: Location
7920 W Jefferson Blvd
Fort Wayne, IN 468044168
Phone: (260) 484-8551
Fax: (260) 482-5060
Type: Location
3946 Ice Way
Fort Wayne, IN 468051018
Phone: (260) 266-4007
Fax: (260) 266-4008
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN 468451728
Phone: (260) 266-7400
Fax: (260) 266-7439
Type: Location
5050 N CLINTON ST
FORT WAYNE, IN 46825
Phone: (260) 484-8551
Fax: (260) 482-5060
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.
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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: 2005-01-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050114000742 | I | Physician Assistant | IN | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 922 | 70 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 174 | 174 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 157 | 118 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 93 | 76 | $0 |
| 73562 | X-ray of knee, 3 views | 43 | 36 | $0 |
Insurance plans in this area (ZIP 45804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | OH | 73562 | X-ray of knee, 3 views | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
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