TABITHA GARTNER CNP
NPI 1851860589
Nurse Practitioner in Newark, OH

Active since November 26, 2018PECOS EnrolledAccepts Medicare Assignment
79.35/100
CMS Quality Rating
1320 W MAIN ST, NEWARK, OH 43055(220) 564-4151(220) 564-7153 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2019, Nov 26, 2018 (2 updates tracked since 2018).

About Tabitha Gartner Cnp NPPES

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

TABITHA GARTNER CNP (NPI 1851860589) is an individual nurse practitioner in Newark, Ohio, licensed in Ohio (APRN.CNP.023973) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1851860589
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTABITHA GARTNERCredential: CNP
Location Address1320 W MAIN STNewark, OH 43055-1822
Mailing Address1320 W Main StNewark, OH 43055-1822 · (220) 564-4151 · Fax (220) 564-7153
Fax(220) 564-7153
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 26, 2018
Last NPPES UpdateFebruary 12, 20192 updates tracked since enumeration
NPI 1851860589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · APRN.CNP.023973
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN.CNP.023973 (OH)
1320 W MAIN ST, Newark, OH 43055

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tabitha Gartner 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 ID1850639295
PECOS Enrollment IDI20190211002215
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.

Areas of Expertise CMS Part B claims 5

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services56 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
37 services37 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
24 services24 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
21 services21 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360218
Location1320 West Main StreetNewark, OH 43055 · Licking County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.02
Promoting Interoperability100
Improvement Activities40
Cost57.85

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.

Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055
Emergency Medicine
1320 W MAIN ST
NEWARK, OH 43055
Pharmacist
1320 W MAIN ST
NEWARK, OH 43055
Nurse Practitioner
1320 W MAIN ST
NEWARK, OH 43055
Pharmacist (Emergency Medicine)
1320 W MAIN ST
NEWARK, OH 43055
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1320 W MAIN ST
NEWARK, OH 43055
Anesthesiology
1320 W MAIN ST
NEWARK, OH 43055

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 Tabitha Gartner's NPI number?

The NPI number for Tabitha Gartner is 1851860589. It was assigned to this individual provider in the NPPES registry on November 26, 2018.

Where is Tabitha Gartner located?

Tabitha Gartner practices at 1320 W Main St, Newark, OH 43055. The listed phone number is (220) 564-4151.

What is Tabitha Gartner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tabitha Gartner enrolled in Medicare?

Yes. Tabitha Gartner 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.

What insurance does Tabitha Gartner accept?

Health plans from Molina Healthcare list Tabitha Gartner 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 Tabitha Gartner affiliated with any hospitals?

According to CMS data, Tabitha Gartner is affiliated with Licking Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tabitha Gartner was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.