MR. TOBIN JACOB TITO (AGPCNP-BC) – Gerontology Nurse Practitioner, NPI 1124616602
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for MR. TOBIN JACOB TITO (AGPCNP-BC)
6308 8TH AVE
KENOSHA, WI 531435031
Phone: (847) 431-3838
Type: Location
1004 CRYSTAL CT
GLENVIEW, IL 600252682
Phone: (847) 431-3838
Type: Mailing
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: 2021-10-12
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 |
|---|---|---|---|---|
| I20211012000197 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 142 | 42 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 114 | 41 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 113 | 113 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 94 | 40 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 26 | 17 | $0 |
Insurance plans in this area (ZIP 53143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| Allergy/Immunology, Internal Medicine | IL | |
| Physician Assistant | IL | |
| Hematology/Oncology, Internal Medicine | MO | |
| Nurse Practitioner | IL | |
| Gynecological Oncology, Obstetrics/Gynecology | IL |
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