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KAREN A. TORMOEHLEN CNP
NPI 1174843262
Nurse Practitioner - Adult Health in Toledo, OH

Active since June 11, 2010PECOS EnrolledAccepts Medicare Assignment
430 NEBRASKA AVE, TOLEDO, OH 43604(419) 255-7883(419) 255-6438 Get Directions Write a Review

NPPES record last updated: June 11, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen A. Tormoehlen Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN A. TORMOEHLEN CNP (NPI 1174843262) is an individual adult health provider in Toledo, Ohio, licensed in Ohio (NP-02808) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1174843262
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKAREN A. TORMOEHLENCredential: CNP
Location Address430 NEBRASKA AVEToledo, OH 43604-8540
Mailing Address313 Jefferson AveToledo, OH 43604-1004 · (419) 720-7883 · Fax (419) 720-7896
Phone(419) 255-7883
Fax(419) 255-6438
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 11, 2010
✔ NPI 1174843262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · NP-02808
430 NEBRASKA AVE, Toledo, OH 43604
Open in Google Maps ↗

Other Identifiers 1

OtherNP02808OH · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Karen A. Tormoehlen Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901075936
PECOS Enrollment IDI20150318001013
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Karen Tormoehlen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neighborhood Health Association Of Toledo, Inc.
Same address
Federally Qualified Health Center (FQHC)
430 NEBRASKA AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • Also billed through NPI 1861857732 (Ohio)
  • 18 clinicians in this Medicare group
NPI 1518089762 (419) 255-7883
Unison Behavioral Health Group, Inc.
2.2 mi
Community/Behavioral Health
1425 STARR AVE
Toledo, OH 43605
  • Reassigned Medicare billing, Ohio enrollment
  • 84 clinicians in this Medicare group
NPI 1952370561 (419) 693-0631

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCIA VIEIRA COLEMAN M.D.
Family Medicine
430 NEBRASKA AVE
TOLEDO, OH 43604
Lucas County (419) 255-7883
SARAH JEAN PIETRAS RN-BSN
Registered Nurse
430 NEBRASKA AVE
TOLEDO, OH 43604
Lucas County (419) 671-5400
NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
430 NEBRASKA AVE
TOLEDO, OH 43604
Lucas County (419) 255-7883
KINGS & QUEENS YOUTH PROGRAM
Case Management
430 NEBRASKA AVE
TOLEDO, OH 43604
Lucas County (419) 671-5400
MRS. KIMBERLY KUNTZ RN
Registered Nurse (School)
430 NEBRASKA AVE
TOLEDO, OH 43604
Lucas County (419) 671-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Tormoehlen's NPI number?

The NPI number for Karen Tormoehlen is 1174843262. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Where is Karen Tormoehlen located?

Karen Tormoehlen practices at 430 Nebraska Ave, Toledo, OH 43604. The listed phone number is (419) 255-7883.

What is Karen Tormoehlen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Karen Tormoehlen enrolled in Medicare?

Yes. Karen Tormoehlen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Karen Tormoehlen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Tormoehlen reassigns Medicare benefits to 2 organizations: Neighborhood Health Association Of Toledo, Inc. (Toledo, OH) and Unison Behavioral Health Group, Inc. (Toledo, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karen Tormoehlen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Tormoehlen accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Paramount and UnitedHealthcare list Karen Tormoehlen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karen Tormoehlen affiliated with any hospitals?

According to CMS data, Karen Tormoehlen is affiliated with Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Tormoehlen was last updated on June 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.