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EMILY FORTHOFER
NPI 1861322646
Nurse Practitioner - Pediatrics in Mansfield, OH

Active since May 21, 2026PECOS Enrolled
540 S TRIMBLE RD, MANSFIELD, OH 44906(419) 522-5454 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, May 21, 2026 (2 updates tracked since 2026).

About Emily Forthofer NPPES

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

EMILY FORTHOFER (NPI 1861322646) is an individual pediatrics provider in Mansfield, Ohio, licensed in Ohio (APRN.CNP.0042568) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Shelby, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1861322646
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameEMILY FORTHOFER
Location Address540 S TRIMBLE RDMansfield, OH 44906-3418
Mailing Address700 Childrens DrColumbus, OH 43205-2664
Phone(419) 522-5454
Sole ProprietorYes
Medical School CMSOtherGraduated 2026
Enumeration DateMay 21, 2026
Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1861322646 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.0042568
540 S TRIMBLE RD, Mansfield, OH 44906
Open in Google Maps ↗

Secondary Practice Location 1

Location 1110 W Smiley AveShelby, OH 44875-2130 · Phone (419) 342-2812

Other Identifiers 1

Medicaid0194346OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Forthofer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264991769
PECOS Enrollment IDI20260825004290
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 Emily Forthofer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Community Practices, LLC
Same address
Pediatrics
540 S TRIMBLE RD
Mansfield, OH 44906
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Childrens Community Practices LLC
  • 36 clinicians in this Medicare group
NPI 1386031896 (419) 522-5454

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 44906 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 6

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

JANE HENDERSON
Nurse Practitioner (Family)
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454
COLLEEN J MCKINNEY M.D.
Pediatrics
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454
CHILDREN'S COMMUNITY PRACTICES, LLC
Pediatrics
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454
MRS. HOLLY J WEBSTER RN
Nurse Practitioner (Pediatrics)
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454
MRS. CASSONDRA SUE STAUFFER NP-C
Nurse Practitioner (Family)
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454
KACEY D CONLAN LPCC-S
Counselor (Professional)
540 S TRIMBLE RD
MANSFIELD, OH 44906
Richland County (419) 522-5454

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 Emily Forthofer's NPI number?

The NPI number for Emily Forthofer is 1861322646. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Emily Forthofer located?

Emily Forthofer practices at 540 S Trimble Rd, Mansfield, OH 44906. The listed phone number is (419) 522-5454.

What is Emily Forthofer's specialty?

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

Is Emily Forthofer enrolled in Medicare?

Yes. Emily Forthofer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Forthofer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Forthofer reassigns Medicare benefits to Children's Community Practices, LLC (Mansfield, 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 Emily Forthofer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Forthofer accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Emily Forthofer 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 Emily Forthofer was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.