Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Tabbert

Individual provider Nurse Practitioner · NPI 1063048049

Andrea Tabbert is a Nurse Practitioner in Sylvania, Ohio. Qualified in 2020, 6 years ago. Practices with Promedica Multi Specialty Physicians, a 270-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
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Practice location Address checks out

5300 Harroun Rd Ste 201
Sylvania, OH 43560-2146
Phone: (419) 885-5563
Fax: (419) 885-5439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.026536 (OH)

Record details

NPI number1063048049
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2020
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Promedica Multi Specialty Physicians — 270 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sylvania