Active NPI
Toni M McFadden, CNP
- Adult Health Nurse Practitioner
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 16959
- Practice address
- 3536 Mendocino Ave Ste 200
Santa Rosa, CA 95403-3634 - Phone
- (707) 573-6166
- Fax
- (707) 573-6165
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R37008 | NM | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | R37008 | NM | |
| Adult Health Nurse Practitioner | 363LA2200X | 16959 | CA | Primary |
Addresses
Primary practice location
3536 Mendocino Ave Ste 200
Santa Rosa, CA 95403-3634
Mailing address
3536 Mendocino Ave Ste 200
Santa Rosa, CA 95403-3634
Phone (707) 525-6485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45259330 | Medicaid | NM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tmcfadden1781608@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
500 Doyle Park Dr
Suite G05
Santa Rosa, CA 95405-4555
Phone (707) 576-7100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
500 Doyle Park Dr
Ste G04
Santa Rosa, CA 95405
Phone (707) 303-8360
500 Doyle Park Dr
Ste 302
Santa Rosa, CA 95405
Phone (707) 573-7070
500 Doyle Park Dr
Ste G05
Santa Rosa, CA 95405
Phone (707) 576-7100
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
558 3rd St W
Sonoma, CA 95476
Phone (707) 753-0725
Interoperability endpoints
- tmcfadden1781608@oc.providencedirect.org
- tmcfadden9608@ahs.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1740584473
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mendocino Coast District Hospital
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1205859311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3536 MENDOCINO AVE STE 200",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954033634",
"telephone_number": "707-525-6485",
"fax_number": "707-573-6918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3536 MENDOCINO AVE STE 200",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954033634",
"telephone_number": "707-573-6166",
"fax_number": "707-573-6165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDEN",
"first_name": "TONI",
"middle_name": "M",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NM",
"license": "R37008",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "NM",
"license": "R37008",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "16959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "45259330",
"state": "NM"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tmcfadden1781608@oc.providencedirect.org",
"affiliation": "N",
"address_1": "500 Doyle Park Dr Ste G05",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954054555",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.