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ESSENCE IRBY
NPI 1659159408
Nurse Practitioner - Psychiatric/Mental Health in Oregon, OH

Active since September 21, 2023PECOS EnrolledAccepts Medicare Assignment
2600 NAVARRE AVE, OREGON, OH 43616(419) 696-8882(419) 696-8819 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Essence Irby NPPES

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

ESSENCE IRBY (NPI 1659159408) is an individual psychiatric/mental health provider in Oregon, Ohio, licensed in Ohio (APRN.CNP.0034947) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and is a graduate of University Of Toledo College Of Medicine (2023).

NPPES Registry Identity

NPI1659159408
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameESSENCE IRBY
Location Address2600 NAVARRE AVEOregon, OH 43616
Mailing Address2600 Navarre AveOregon, OH 43616-3207
Phone(419) 696-8882
Fax(419) 696-8819
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2023
Enumeration DateSeptember 21, 2023
Last NPPES UpdateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1659159408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0034947
2600 NAVARRE AVE, Oregon, OH 43616
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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

Essence Irby 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 ID6305294356
PECOS Enrollment IDI20231130003527
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 Essence Irby reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians North Specialty Care LLC
3.7 mi
Surgery
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 690 clinicians in this Medicare group
NPI 1306468418 (888) 696-3541
Viaquest Psychiatric & Behavioral Solutions LLC
108 mi
Case Manager/Care Coordinator
525 METRO PL N STE 300
Dublin, OH 43017
  • Reassigned Medicare billing, Ohio enrollment
  • 200 clinicians in this Medicare group
NPI 1386155711 (614) 339-8436

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 3

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
473 services124 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
52 services52 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
49 services49 patients

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 43616 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.

MARK SNIADANKO DO
Emergency Medicine
2600 NAVARRE AVE
OREGON, OH 43616
Lucas County (419) 696-7500
ALEC NOOREE MIAN MD
Pathology (Anatomic Pathology & Clinical Pathology)
2600 NAVARRE AVE, ST CHARLES MERCY HOSPITAL
OREGON, OH 43616
Lucas County (419) 696-7216
JANIS R KRABILL NP
Nurse Practitioner
2600 NAVARRE AVE
OREGON, OH 43616
Lucas County (419) 696-7500
JACQUELYN MARIE ANDERSON PHARM.D.; BCPS
Pharmacist
2600 NAVARRE AVE
OREGON, OH 43616
Lucas County (419) 696-7595
TAMARA LYNN CARRUTHERS LPN
Licensed Practical Nurse
2600 NAVARRE AVE
OREGON, OH 43616
Lucas County (419) 696-7200
ESMERALDA ROBERTSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2600 NAVARRE AVE
OREGON, OH 43616
Lucas County (419) 696-7200
PAUL A. BYRNE MD
Pediatrics (Neonatal-Perinatal Medicine)
2600 NAVARRE AVE
OREGON, OH 43616
Lucas County (419) 696-7725
MRS. MONICA LYN BERNHOFFER AGACNP-BC
Nurse Practitioner (Gerontology)
2600 NAVARRE AVE
OREGON, OH 43616
Lucas County (419) 696-7200

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 Essence Irby's NPI number?

The NPI number for Essence Irby is 1659159408. It was assigned to this individual provider in the NPPES registry on September 21, 2023.

Where is Essence Irby located?

Essence Irby practices at 2600 Navarre Ave, Oregon, OH 43616. The listed phone number is (419) 696-8882.

What is Essence Irby's specialty?

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

Is Essence Irby enrolled in Medicare?

Yes. Essence Irby 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 Essence Irby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Essence Irby reassigns Medicare benefits to 2 organizations: Mercy Health Physicians North Specialty Care LLC (Toledo, OH) and Viaquest Psychiatric & Behavioral Solutions LLC (Dublin, 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 Essence Irby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Essence Irby accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Essence Irby 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 Essence Irby affiliated with any hospitals?

According to CMS data, Essence Irby is affiliated with Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Essence Irby was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.