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

Mr. Tobin Jacob Tito, APN-CNP

Individual provider Nurse Practitioner · NPI 1124616602

Mr. Tobin Jacob Tito, APN-CNP is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2020, 6 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

6308 8th Ave
Kenosha, WI 53143-5031
Phone: (847) 431-3838
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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 209021978 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209.021978 (IL)

Record details

NPI number1124616602
Entity typeIndividual (Type 1)
GenderMale
Credentials APN-CNP
Sole proprietorNo
NPI enumeratedJanuary 9, 2021
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

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 Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Kenosha