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TONI DAWN SUAREZ NP
NPI 1073156360
Nurse Practitioner - Family in Crown Point, IN

Active since October 20, 2019PECOS EnrolledAccepts Medicare Assignment
2100 N MAIN ST # 304, CROWN POINT, IN 46307(574) 546-1900(574) 546-1999 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2024, Jan 4, 2021, Jul 20, 2020 and 2 more (5 updates tracked since 2019).

About Toni Dawn Suarez Np NPPES

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

TONI DAWN SUAREZ NP (NPI 1073156360) is an individual family provider in Crown Point, Indiana, licensed in Indiana (71009498A) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1073156360
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI DAWN SUAREZCredential: NP
Location Address2100 N MAIN ST # 304Crown Point, IN 46307-1877
Mailing Address7815 Mohawk LnIndianapolis, IN 46260-3339
Phone(574) 546-1900
Fax(574) 546-1999
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 20, 2019
Last NPPES UpdateApril 8, 20245 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1073156360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71009498A
2100 N MAIN ST # 304, Crown Point, IN 46307
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Toni Dawn Suarez Np 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 ID5496188070
PECOS Enrollment IDI20191212001817
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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
711 services211 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
451 services196 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
73 services37 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
37 services37 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
33 services19 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

MS. YVETTE MONIQUE CAVINESS-KELLEY FNP-BC
Nurse Practitioner (Family)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
BRANDY MICHELLE COOK FNP-BC
Nurse Practitioner (Family)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
MELISSA CRAWFORD
Social Worker (Clinical)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
MELISSA MARSHALL NP-C
Nurse Practitioner (Family)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
LAUREN STEWART
Nurse Practitioner (Family)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
KAREN DIANNE TODD LCSW
Social Worker (Clinical)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
MR. CHRISTOPHER HUTCHESON LCSW
Social Worker (Clinical)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900
SHAN LI
Nurse Practitioner (Gerontology)
2100 N MAIN ST # 304
CROWN POINT, IN 46307
Lake County (574) 546-1900

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 Toni Suarez's NPI number?

The NPI number for Toni Suarez is 1073156360. It was assigned to this individual provider in the NPPES registry on October 20, 2019.

Where is Toni Suarez located?

Toni Suarez practices at 2100 N Main St # 304, Crown Point, IN 46307. The listed phone number is (574) 546-1900.

What is Toni Suarez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Toni Suarez enrolled in Medicare?

Yes. Toni Suarez 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 Toni Suarez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Toni Suarez 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.

When was this NPI record last updated?

The NPPES record for Toni Suarez was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.