Beverly G Tolle, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

COA.07052.NP Issued in OH

Practice address

4439 State Route 159 Ste 150
Chillicothe, OH 45601-7833

Phone

(740) 779-8840

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Ohio State University College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adena Home Health Home health agency, Chillicothe, OH, CCN 367271
• National Church Residences Home and Community Serv Home health agency, Chillicothe, OH, CCN 368083
• Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
• Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334
• Berger Hospital Hospital, Circleville, OH, CCN 360170

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: btolle842426@direct.osumc.edu

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.

• Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
  • NPI 1235468083
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adena Health System

  • General Acute Care Hospital
  • Chillicothe, OH
  • NPI 1902839673
  Care Compare affiliation
• Adena Home Health, LLC

  • Home Health Agency
  • Chillicothe, OH
  • NPI 1700805538
  Care Compare affiliation
• National Church Residences at Home, Inc

  • Home Health Agency
  • Chillicothe, OH
  • NPI 1922104041
  Care Compare affiliation
• Ohiohealth Berger Hospital LLC

  • General Acute Care Hospital
  • Circleville, OH
  • NPI 1326020447
  Care Compare affiliation
• Pike Health Services, Inc

  • Critical Access Hospital
  • Waverly, OH
  • NPI 1720018971
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1275558272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159 STE 150",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017833",
            "telephone_number": "740-779-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159 STE 150",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017833",
            "telephone_number": "740-779-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLE",
        "first_name": "BEVERLY",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.07052.NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2368138",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.im.franklin.clinic@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4439 State Route 159 Ste 150",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456017833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Ann Tinch
• Donna Lynn Tisdale
• Terry Daniel Titus
• Nitin Tiwari
• Trisha Todd, LPN
• Kelly Tolle
• Angela Lee Tolliver, LPN
• Natasha Christine Tomlison, RN
• Sherry Lynn Tomlison
• Tonia East

• Adult Health Nurse Practitioner in Chillicothe, OH
• Providers in Chillicothe, OH by specialty
• Adult Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.

Verify at the official NPI Registry.