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

Ivy C Tobin

Individual provider Acute Care Nurse Practitioner · NPI 1801553938

Ivy C Tobin is a Nurse Practitioner in Hannibal, Missouri. Qualified in 2021, 5 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
Specialties on file
2

Practice location Address checks out

6500 Hospital Dr
Hannibal, MO 63401-6890
Phone: (573) 629-3500
Fax: (573) 629-3314
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • One Hospital Dr, Columbia, MO 65212-0001 — (573) 884-3278

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 2021047405 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2013009873 (MO)

Record details

NPI number1801553938
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 23, 2021
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024
Mailing addressPo Box 1239, Hannibal, MO 63401-1239

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Hannibal