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KATHLEEN TOON
NPI 1083251821
Nurse Practitioner in Fort Smith, AR

Active since November 27, 2019PECOS EnrolledAccepts Medicare Assignment
7001 ROGERS AVE, FORT SMITH, AR 72903(479) 314-7490 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 16, 2020, Nov 27, 2019 (2 updates tracked since 2019).

About Kathleen Toon NPPES

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

KATHLEEN TOON (NPI 1083251821) is an individual nurse practitioner in Fort Smith, Arkansas, licensed in Arkansas (123568) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1083251821
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN TOON
Location Address7001 ROGERS AVEFort Smith, AR 72903-4073
Mailing Address8904 Copper Oaks LnFort Smith, AR 72903-4339 · (501) 733-2952
Phone(479) 314-7490
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 27, 2019
Last NPPES UpdateJanuary 16, 20202 updates tracked since enumeration
✔ NPI 1083251821 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 AR · 123568
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 ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License R87962 (AR)
7001 ROGERS AVE, Fort Smith, AR 72903
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections 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

Kathleen Toon 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 ID2163858663
PECOS Enrollment IDI20200131000995
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
475 services279 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.
359 services258 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.
75 services64 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.
51 services45 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services28 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72903 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

RAYMOND C. GOODMAN JR. M.D.
Surgery
7001 ROGERS AVE, SUITE 200
FORT SMITH, AR 72903
Sebastian County (479) 314-4620
MERCY CLINIC FORT SMITH COMMUNITIES
Clinic/Center (Medical Specialty)
7001 ROGERS AVE, SUITE 401A
FORT SMITH, AR 72903
Sebastian County (479) 314-4650
DR. JAMES MICHAEL WHITENECK M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
7001 ROGERS AVE, SUITE 401
FORT SMITH, AR 72903
Sebastian County (479) 314-4650
DR. MERLE E MCCLAIN MD
Pediatrics
7001 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 452-2077
MELISSA RAINWATER M.D.
Obstetrics & Gynecology
7001 ROGERS AVE, SUITE 502
FORT SMITH, AR 72903
Sebastian County (479) 484-5901
DR. STUART DEAN HARAWAY M.D.
Obstetrics & Gynecology
7001 ROGERS AVE, SUITE 400
FORT SMITH, AR 72903
Sebastian County (479) 274-5000
ETHAN PEARSON MSN, APRN, FNP-C
Nurse Practitioner (Family)
7001 ROGERS AVE
FORT SMITH, AR 72903
Sebastian County (479) 314-6000
DR. HUMDUM PASHA DURRANI M.D.
Internal Medicine (Hematology & Oncology)
7001 ROGERS AVE, SUITE 200
FORT SMITH, AR 72903
Sebastian County (479) 314-7490

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 Kathleen Toon's NPI number?

The NPI number for Kathleen Toon is 1083251821. It was assigned to this individual provider in the NPPES registry on November 27, 2019.

Where is Kathleen Toon located?

Kathleen Toon practices at 7001 Rogers Ave, Fort Smith, AR 72903. The listed phone number is (479) 314-7490.

What is Kathleen Toon's specialty?

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

Is Kathleen Toon enrolled in Medicare?

Yes. Kathleen Toon 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 Kathleen Toon accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Kathleen Toon 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 Kathleen Toon was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.