SLESSOR MAH TOH-FOMBANG
NPI 1205509452
Nurse Practitioner - Psychiatric/Mental Health in Columbus, OH

Q: What is Slessor Toh-fombang's NPI number?

The NPI number for Slessor Toh-fombang is 1205509452. It was assigned to this individual provider in the NPPES registry on July 25, 2021.

Q: What is Slessor Toh-fombang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since July 25, 2021PECOS EnrolledAccepts Medicare Assignment

6400 E BROAD ST STE 400, COLUMBUS, OH 43213(614) 655-3345(614) 317-4689 Get Directions Write a Review

NPPES record last updated: February 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2022, Jul 25, 2021 (2 updates tracked since 2021).

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About Slessor Mah Toh-fombang NPPES

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

SLESSOR MAH TOH-FOMBANG (NPI 1205509452) is an individual psychiatric/mental health provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.0030416) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205509452

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSLESSOR MAH TOH-FOMBANG

Location Address6400 E BROAD ST STE 400Columbus, OH 43213-2979

Mailing Address8732 Linick DrReynoldsburg, OH 43068-4782 · (614) 772-4473

Phone(614) 655-3345

Fax(614) 317-4689

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 25, 2021

Last NPPES UpdateFebruary 21, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2022

✔ NPI 1205509452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in OH · APRN.CNP.0030416

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.456245 (OH)

6400 E BROAD ST STE 400, Columbus, OH 43213

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Slessor Mah Toh-fombang 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 ID1557757432

PECOS Enrollment IDI20220331002668

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

Medicare enrollment records show Slessor Toh-fombang reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mount Carmel Behavioral Healthcare, LLC

3.8 mi

Psychiatric Hospital

4646 HILTON CORPORATE DRIVE
Columbus, OH 43232

Reassigned Medicare billing, Ohio enrollment
17 clinicians in this Medicare group

NPI 1033693569 (614) 487-2080

Columbus Neighborhood Health Center, Inc.

5.4 mi

Federally Qualified Health Center (FQHC)

3433 AGLER ROAD, SUITE 2800
Columbus, OH 43219

Reassigned Medicare billing, Ohio enrollment
117 clinicians in this Medicare group

NPI 1346304151 (614) 645-1600

Michael G Saribalas Do PA

5.5 mi

Sleep Medicine

4625 MORSE RD STE 200
Gahanna, OH 43230

Reassigned Medicare billing, Ohio enrollment
14 clinicians in this Medicare group

NPI 1275720591 (614) 475-6700

Autumn Treatment Center LLC

44 mi

Rehabilitation, Substance Use Disorder

321 E COURT ST
Washington Court House, OH 43160

Reassigned Medicare billing, Ohio enrollment
36 clinicians in this Medicare group

NPI 1225601826 (614) 219-9394

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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 20

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

GAURIMA BASNET

Licensed Practical Nurse