Tonya Allen I, NP
Individual provider Active NPI Nurse Practitioner · Kingman, AZ
NPI 1104254952 · NPPES record last updated Oct 14, 2013
Key facts
- NPI
- 1104254952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP5238 (AZ)
- Practice address
- 3269 Stockton Hill Rd
Kingman, AZ 86409-3619 - Phone
- (928) 757-0645
- Fax
- (386) 274-7801
- NPI assigned
- Oct 14, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Coverage LLC
Practice addresses (Care Compare)
320 Hospital Dr
Martinsville, VA 24112-1981
Phone (276) 666-7200
Hospital & facility affiliations
- Sovah Health Danville
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.94 of 100
- Quality
- 91.35
- Promoting interoperability
- 99
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in VA, KS, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180105001185 | VA | Practitioner - Nurse Practitioner | 8123257706 | Reassigns benefits to 2 organizations |
| I20221028000421 | KS | Practitioner - Nurse Practitioner | 8123257706 | Reassigns benefits to 2 organizations |
| I20230802004302 | NC | Practitioner - Nurse Practitioner | 8123257706 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP5238 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastonia Physician Services, PLLC | Current |
Accepting new patients | |
| Emergency Coverage Services, PC | Nurse Practitioner | Current |
Accepting new patients |
| Emergency Coverage, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Saint Lukes Hospital of Garnett Inc | Current |
Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current |
Accepting new patients | |
| Gastonia Physician Services, PLLC | Current |
Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current |
Accepting new patients | |
| Saint Lukes of Garnett Inc | Past | Accepting new patients |
Locations
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200
6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP5238 | AZ | Yes |
Addresses
Primary practice location
3269 Stockton Hill Rd
Kingman, AZ 86409-3619
Mailing address
PO Box 11577
Daytona Beach, FL 32120-1577
Phone (386) 274-7800
Other providers in Kingman, AZ
- Wade G Alleman
- Ashley Brianna Allen
- Jason C Allen
- Stan D Allen
- Summer T Allen
- Jean Ann Amico
- Amerest Anderson
- Leellen Lou Anderson
- Melissa Anderson
- Robert Anderson
All providers in Kingman, AZ · Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.