TABATHA ANGLE (NP) – Women's Health Nurse Practitioner, NPI 1568832343

TABATHA ANGLE (NP) is a healthcare provider. based in Mansfield, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. COA-18150-NP (OH). The NPI Number for TABATHA ANGLE (NP) is 1568832343

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
TABATHA ANGLE (NP)
NPI
1568832343
Phone
(419) 522-6800
Address
770 BALGREEN DR STE 207
Enumeration Date
6 October 2015
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
7315256856
Group Practice PAC ID
2365423977
Professional Enrollment ID
I20151022002179
Address ID
OH449062633Ma1404XWXXX401

Contacts

Secure Messaging
tcampbell227731@direct.ohiohealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TABATHA ANGLE (NP)

  • 770 BALGREEN DR STE 207

    MANSFIELD, OH 449064106

    Phone: (419) 522-6800

    Fax: (419) 525-6723

    Type: Location

  • 600 W 3RD ST

    MANSFIELD, OH 449062633

    Phone: (419) 522-6191

    Fax: (419) 526-7939

    Type: Location

  • 600 W 3rd St

    Mansfield, OH 449062633

    Phone: (419) 522-6191

    Fax: (419) 526-7939

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $579.

Total Amount is formed as General ($579) + Research ($0) + Ownership ($0) = $579.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Astellas Pharma US Inc ($147).

Total Amount

$579

General + Research + Ownership

Payments

32

Total payment records

General Amount

$579

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-10-22

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
I20151022002179INurse 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 44906)

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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: 2365423977View full group profile
NameSpecialtyState
Nurse PractitionerOH
Nurse PractitionerOH
Internal MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
Family PracticeOH
-OH
Clinical Social WorkerOH
P O D I A T R YOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Does TABATHA ANGLE (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — TABATHA ANGLE (NP) uses 1568832343.
Does CMS list TABATHA ANGLE (NP) as active?
Yes — TABATHA ANGLE (NP) is active in the NPI listing used on this page.
What is TABATHA ANGLE (NP)'s primary classification?
Women's Health Nurse Practitioner is the headline specialty for TABATHA ANGLE (NP) here. Clinical services aligned with this taxonomy classification.
What area does TABATHA ANGLE (NP) serve?
TABATHA ANGLE (NP)'s listing highlights Mansfield, Ohio; more addresses can appear in NPPES.
Why does TABATHA ANGLE (NP) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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