TORI LYNN MINICK (CNP) – Women's Health Nurse Practitioner, NPI 1679322317

TORI LYNN MINICK (CNP) is a healthcare provider. based in Hartville, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. APRN.CNP.0035146 (OH). The NPI Number for TORI LYNN MINICK (CNP) is 1679322317

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
TORI LYNN MINICK (CNP)
NPI
1679322317
Phone
Not provided
Address
240 ADELAIDE AVE SW
Enumeration Date
15 May 2024
Last Update Date
15 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302497011
Graduation Year
2023 (3 years ago)
PAC ID
8820510258
Group Practice PAC ID
7113210949
Professional Enrollment ID
I20250314002124
Address ID
OH446014288AL1401XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for TORI LYNN MINICK (CNP)

  • 240 ADELAIDE AVE SW

    HARTVILLE, OH 446328936

    Phone:

    Mailing address matches the actual address.

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: 2025-03-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250314002124INurse 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 44632)

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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: 7113210949View full group profile
NameSpecialtyState
Nurse PractitionerOH
-IL
Nurse PractitionerOH
Physician AssistantOH
-OH
Physician AssistantOH
Family PracticeOH

Reviews

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Frequently asked questions

How is TORI LYNN MINICK (CNP) identified in CMS data?
CMS-hosted NPPES data lists TORI LYNN MINICK (CNP) with NPI 1679322317.
Is TORI LYNN MINICK (CNP) listed as active for patients and plans?
The listing shows TORI LYNN MINICK (CNP) as active in the NPI system.
What taxonomy line describes TORI LYNN MINICK (CNP)?
For research purposes, treat TORI LYNN MINICK (CNP) as Women's Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for TORI LYNN MINICK (CNP)?
TORI LYNN MINICK (CNP)'s geographic hint is Hartville, Ohio in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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