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TONI LYNN WILCHER APN-BC
NPI 1104131515
Nurse Practitioner - Adult Health in Indianapolis, IN

Active since August 10, 2010PECOS EnrolledAccepts Medicare Assignment
12130 E WASHINGTON ST STE A, INDIANAPOLIS, IN 46229(317) 355-7752(317) 355-7750 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 13, 2023, Sep 8, 2022, Sep 14, 2020 and 3 more (6 updates tracked since 2017).

About Toni Lynn Wilcher Apn-bc NPPES

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

TONI LYNN WILCHER APN-BC (NPI 1104131515) is an individual adult health provider in Indianapolis, Indiana, licensed in Indiana (71003313A) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Hancock Regional Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104131515
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTONI LYNN WILCHERCredential: APN-BC
Location Address12130 E WASHINGTON ST STE AIndianapolis, IN 46229-2955
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Phone(317) 355-7752
Fax(317) 355-7750
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 10, 2010
Last NPPES UpdateFebruary 13, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2023
✔ NPI 1104131515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IN · 71003313A
12130 E WASHINGTON ST STE A, Indianapolis, IN 46229
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1152 Wittenbraker AveNew Castle, IN 47362-5000 · Phone (765) 599-3100
Location 22200 Forest Ridge Pkwy Ste 310New Castle, IN 47362-2943 · Phone (765) 599-3400
Location 38177 Clearvista PkwyIndianapolis, IN 46256-1662 · Phone (317) 621-7801 · Fax (317) 621-7205

Other Identifiers 2

Medicaid201009410IN
OtherQ00416551IN · Railroad Medicare

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Toni Lynn Wilcher Apn-bc 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 ID1658567292
PECOS Enrollment IDI20101122001308
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 Reassignment

Medicare enrollment records show Toni Wilcher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Physicians Of Indiana Inc
8.9 mi
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
NPI 1619105244 (317) 355-5555

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 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.

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.
138 services115 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.
136 services118 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.
25 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services20 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.
18 services18 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Hancock Regional Hospital

Acute Care Hospitals · Greenfield, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150037
Location801 N State StGreenfield, IN 46140 · Hancock County
Emergency services Birthing friendly

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46229 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers21 claims53 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims22 services$0.92 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers17 claims82 services$2.82 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
4 suppliers11 claims11 services$14.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims20 services$21.26 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$5.17 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

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

AARON MATTHEW MANG DO
Family Medicine
12130 E WASHINGTON ST STE A
INDIANAPOLIS, IN 46229
Marion County (317) 355-7752

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 Wilcher's NPI number?

The NPI number for Toni Wilcher is 1104131515. It was assigned to this individual provider in the NPPES registry on August 10, 2010.

Where is Toni Wilcher located?

Toni Wilcher practices at 12130 E Washington St Ste A, Indianapolis, IN 46229. The listed phone number is (317) 355-7752.

What is Toni Wilcher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Toni Wilcher enrolled in Medicare?

Yes. Toni Wilcher 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 organization bills Medicare for Toni Wilcher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Wilcher reassigns Medicare benefits to Community Physicians Of Indiana Inc (Indianapolis, IN). The 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 Toni Wilcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Wilcher accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Toni Wilcher 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 Toni Wilcher affiliated with any hospitals?

According to CMS data, Toni Wilcher is affiliated with Hancock Regional Hospital, Community Hospital East, Community Hospital South, Inc. and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Toni Wilcher was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.