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Emily Forthofer

Nurse Practitioner - Pediatrics β€’ Mansfield, OH

Active NPI 1861322646 Individual Practitioner Female Practitioner
Practice location in NPPES

540 S Trimble Rd
Mansfield, OH 449063418

Call 4195225454 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

540 S Trimble Rd

Mansfield, OH 449063418

Telephone 4195225454
Organization at the Same NPPES Address or Phone
Children's Community Practices, Llc Facility NPI 1386031896

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Emily Forthofer as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mansfield and Ohio

5 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Mansfield, OH (1,092 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-01
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES OH APRN.CNP.0042568
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address July 01, 2026

Registered at 540 S TRIMBLE RD, MANSFIELD, OH 449063418 (Tel: 4195225454)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2026

Nurse Practitioner (license number reported to NPPES: OH APRN.CNP.0042568)

βœ…
NPI Profile Active May 21, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 21, 2026

Registered at 540 S TRIMBLE RD, MANSFIELD, OH 449063418 (Tel: 4195225454)

πŸ“
Business Mailing Address (Initial Record) May 21, 2026

Registered at 14845 N LIBERTY RD, MOUNT VERNON, OH 430509778

πŸ‘€
Provider Name / Credentials (Initial Record) May 21, 2026

Recorded as EMILY FORTHOFER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 21, 2026

Student in an Organized Health Care Education/Training Program (license number reported to NPPES: OH RN.451069)

🟒
Initial NPI Registration & Enumeration May 21, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861322646
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 21, 2026
Last Update: July 01, 2026
Sole Proprietor: Yes

Mailing Address

540 S Trimble Rd

Mansfield, OH 449063418

Phone: 4195225454

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.