TONYA MCLEAY
NPI 1053852848
Nurse Practitioner in Omaha, NE

Active since March 14, 2017PECOS EnrolledAccepts Medicare Assignment
730 S 38TH AVE, OMAHA, NE 68105(402) 559-9600(402) 559-8228 Get Directions Write a Review

NPPES record last updated: June 16, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2017, May 24, 2017, Mar 14, 2017 (3 updates tracked since 2017).

About Tonya Mcleay NPPES

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

TONYA MCLEAY (NPI 1053852848) is an individual nurse practitioner in Omaha, Nebraska, licensed in Nebraska (112190) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1053852848
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTONYA MCLEAY
Location Address730 S 38TH AVEOmaha, NE 68105-1107
Mailing Address988102 Nebraska Medical CtrOmaha, NE 68198-8102
Fax(402) 559-8228
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateMarch 14, 2017
Last NPPES UpdateJune 16, 20173 updates tracked since enumeration
NPI 1053852848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NE · 112190
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 · Adult HealthTaxonomy 363LA2200X · License 112190 (NE)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 112190 (NE)
730 S 38TH AVE, Omaha, NE 68105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tonya Mcleay 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 ID9133498876
PECOS Enrollment IDI20170712000123
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.

Areas of Expertise CMS Part B claims 6

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 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.
239 services197 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
68 services68 patients
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.
57 services53 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
19 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68105 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers20 claims20 services$21.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Geriatric Medicine)
730 S 38TH AVE
OMAHA, NE 68105
Counselor (Mental Health)
730 S 38TH AVE
OMAHA, NE 68105
Internal Medicine (Geriatric Medicine)
730 S 38TH AVE
OMAHA, NE 68105
Internal Medicine (Geriatric Medicine)
730 S 38TH AVE
OMAHA, NE 68105
Internal Medicine (Geriatric Medicine)
730 S 38TH AVE
OMAHA, NE 68105
Nurse Practitioner (Gerontology)
730 S 38TH AVE
OMAHA, NE 68105
Family Medicine (Hospice and Palliative Medicine)
730 S 38TH AVE
OMAHA, NE 68105
Internal Medicine (Geriatric Medicine)
730 S 38TH AVE
OMAHA, NE 68105

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 Tonya Mcleay's NPI number?

The NPI number for Tonya Mcleay is 1053852848. It was assigned to this individual provider in the NPPES registry on March 14, 2017.

Where is Tonya Mcleay located?

Tonya Mcleay practices at 730 S 38th Ave, Omaha, NE 68105. The listed phone number is (402) 559-9600.

What is Tonya Mcleay's specialty?

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

Is Tonya Mcleay enrolled in Medicare?

Yes. Tonya Mcleay 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.

What insurance does Tonya Mcleay accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Medica and 1 other insurer list Tonya Mcleay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tonya Mcleay affiliated with any hospitals?

According to CMS data, Tonya Mcleay is affiliated with The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Tonya Mcleay was last updated on June 16, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.