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CLARE STANTON PCPNP
NPI 1306217286
Nurse Practitioner - Pediatrics in Toledo, OH

Active since October 16, 2015PECOS Enrolled
2222 CHERRY ST, TOLEDO, OH 43608(419) 251-6340(419) 251-6433 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 11, 2025, Feb 20, 2025, Nov 21, 2024 and 1 more (4 updates tracked since 2017).

About Clare Stanton Pcpnp NPPES

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

CLARE STANTON PCPNP (NPI 1306217286) is an individual pediatrics provider in Toledo, Ohio, licensed in Ohio (APRN.CNP.0033771) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1306217286
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCLARE STANTONCredential: PCPNP
Location Address2222 CHERRY STToledo, OH 43608-2673
Mailing Address2222 Cherry St Ste 1900Toledo, OH 43608-2673 · (419) 251-3878
Phone(419) 251-6340
Fax(419) 251-6433
Sole ProprietorNo
Enumeration DateOctober 16, 2015
Last NPPES UpdateApril 14, 20254 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1306217286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in OH · APRN.CNP.0033771
2222 CHERRY ST, Toledo, OH 43608
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11400 E 2nd St Ste 100Defiance, OH 43512-9905 · Phone (419) 251-6430 · Fax (419) 251-6433
Location 2500 W Market StTiffin, OH 44883-2610 · Phone (419) 251-6430 · Fax (419) 251-6433
Location 3730 W Market St Ste 2900Lima, OH 45801-4602 · Phone (419) 251-6430 · Fax (419) 251-6433

Other Identifiers 1

Medicaid0098246OH

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 (PECOS)

Clare Stanton Pcpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Clare Stanton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwest Pediatric Specialists, LLC
Same address
Pediatrics
2213 CHERRY ST
Toledo, OH 43608
  • Reassigned Medicare billing, Ohio enrollment
  • 233 clinicians in this Medicare group
NPI 1033709100 (419) 251-3232

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43608 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.

NAN E. TOBIAS RN, CNP
Nurse Practitioner (Pediatrics)
2222 CHERRY ST, SUITE 1800
TOLEDO, OH 43608
Lucas County (419) 251-8027
STEFANIE PEER LISW
Social Worker (Clinical)
2222 CHERRY ST, SUITE 2800
TOLEDO, OH 43608
Lucas County (419) 251-8213
ANDREA BIGELOW FNP
Nurse Practitioner (Family)
2222 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-1020
DR. DANIEL P OCONNOR DO
Internal Medicine (Pulmonary Disease)
2222 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4790
LEONARD H MADOFF MD
Pathology (Anatomic Pathology & Clinical Pathology)
2222 CHERRY ST
TOLEDO, OH 43608
Lucas County (419) 251-4534
TANYANYIWA W CHINYADZA M.D.
Internal Medicine (Infectious Disease)
2222 CHERRY ST, STE 1400
TOLEDO, OH 43608
Lucas County (419) 251-4787
DR. NAUMAN NAEEM M.D.
Internal Medicine (Pulmonary Disease)
2222 CHERRY ST, SUITE 1400
TOLEDO, OH 43608
Lucas County (419) 251-4790
MRS. KOURY LEIGH BANKOWSKI NP
Nurse Practitioner (Family)
2222 CHERRY ST, SUITE 1400
TOLEDO, OH 43608
Lucas County (419) 251-4787

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 Clare Stanton's NPI number?

The NPI number for Clare Stanton is 1306217286. It was assigned to this individual provider in the NPPES registry on October 16, 2015.

Where is Clare Stanton located?

Clare Stanton practices at 2222 Cherry St, Toledo, OH 43608. The listed phone number is (419) 251-6340.

What is Clare Stanton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Clare Stanton enrolled in Medicare?

Yes. Clare Stanton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Clare Stanton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clare Stanton reassigns Medicare benefits to Northwest Pediatric Specialists, LLC (Toledo, OH). The 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 Clare Stanton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clare Stanton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Clare Stanton 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.

When was this NPI record last updated?

The NPPES record for Clare Stanton was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.