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ERIN EILEEN TOOLEY CNP
NPI 1003500893
Nurse Practitioner in Oxford, MA

Active since June 06, 2023PECOS EnrolledAccepts Medicare Assignment
78 SUTTON AVE, OXFORD, MA 01540(508) 499-1760(508) 499-1757 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2025, Jan 2, 2024, Jun 6, 2023 (3 updates tracked since 2023).

About Erin Eileen Tooley Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIN EILEEN TOOLEY CNP (NPI 1003500893) is an individual nurse practitioner in Oxford, Massachusetts, licensed in Massachusetts (RN2298354) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Health - Harrington Hospital, and maintains a secondary practice location in Southbridge.

NPPES Registry Identity

NPI1003500893
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameERIN EILEEN TOOLEYCredential: CNP
Location Address78 SUTTON AVEOxford, MA 01540-1813
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 499-1760
Fax(508) 499-1757
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 6, 2023
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1003500893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN2298354
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN2298354 (MA)
78 SUTTON AVE, Oxford, MA 01540
Open in Google Maps ↗

Secondary Practice Location 1

Location 1164 South StSouthbridge, MA 01550-4010 · Phone (508) 909-8550 · Fax (508) 909-2110

Other Identifiers 1

Medicaid110201078AMA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erin Eileen Tooley Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335500248
PECOS Enrollment IDI20230725001763
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Erin Tooley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Umass Memorial Medical Group, Inc.
Same address
Urgent Care
78 SUTTON AVE
Oxford, MA 01540
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
NPI 1982381018 (508) 499-1760
Milford Regional Physician Group, Inc.
17 mi
Cardiovascular Disease
308 MAIN ST
Milford, MA 01757
  • Reassigned Medicare billing, Massachusetts enrollment
  • 238 clinicians in this Medicare group
NPI 1285031039 (508) 731-2560

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
189 services176 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
56 services56 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
50 services49 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
46 services44 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
37 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Health - Harrington Hospital

Acute Care Hospitals · Southbridge, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220019
Location100 South StreetSouthbridge, MA 01550 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01540 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA BARRIEAU
Physician Assistant
78 SUTTON AVE
OXFORD, MA 01540
Worcester County (508) 499-1760
RYAN IMELIO
Physician Assistant
78 SUTTON AVE
OXFORD, MA 01540
Worcester County (508) 499-1760
JILLIAN MARIE BULLOCK FNP-C
Nurse Practitioner (Family)
78 SUTTON AVE
OXFORD, MA 01540
Worcester County (508) 499-1760
HELEN TANG
Physician Assistant
78 SUTTON AVE
OXFORD, MA 01540
Worcester County (508) 499-1760
DEBORAH A SULLIVAN MD
Family Medicine
78 SUTTON AVE
OXFORD, MA 01540
Worcester County (508) 499-1760
HARRINGTON PHYSICIAN SERVICES, INC.
Clinic/Center (Urgent Care)
78 SUTTON AVE
OXFORD, MA 01540
Worcester County (508) 499-1760
SHELLIE RAY NP
Nurse Practitioner
78 SUTTON AVE
OXFORD, MA 01540
Worcester County (508) 499-1760
UMASS MEMORIAL MEDICAL GROUP, INC.
Clinic/Center (Urgent Care)
78 SUTTON AVE
OXFORD, MA 01540
Worcester County (508) 499-1760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erin Tooley's NPI number?

The NPI number for Erin Tooley is 1003500893. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Erin Tooley located?

Erin Tooley practices at 78 Sutton Ave, Oxford, MA 01540. The listed phone number is (508) 499-1760.

What is Erin Tooley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Erin Tooley enrolled in Medicare?

Yes. Erin Tooley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Erin Tooley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Tooley reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group, Inc. (Oxford, MA) and Milford Regional Physician Group, Inc. (Milford, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erin Tooley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Erin Tooley affiliated with any hospitals?

According to CMS data, Erin Tooley is affiliated with Umass Memorial Health - Harrington Hospital.

When was this NPI record last updated?

The NPPES record for Erin Tooley was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.