TONI ANNE DRUMM CRNP
NPI 1104467802
Nurse Practitioner - Family in Wilmington, NC

Active since October 03, 2019PECOS EnrolledAccepts Medicare Assignment
1414 PHYSICIANS DR, WILMINGTON, NC 28401(910) 796-7900 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, May 26, 2025, Sep 20, 2024 and 2 more (5 updates tracked since 2019).

About Toni Anne Drumm Crnp NPPES

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

TONI ANNE DRUMM CRNP (NPI 1104467802) is an individual family provider in Wilmington, North Carolina, licensed in North Carolina (5018835) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1104467802
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI ANNE DRUMMCredential: CRNP
Location Address1414 PHYSICIANS DRWilmington, NC 28401-7335
Mailing Address224 Pinnacle PkwyHampstead, NC 28443-7718 · (717) 201-6687
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 3, 2019
Last NPPES UpdateJune 30, 20255 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1104467802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5018835
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5018835 (NC)
1414 PHYSICIANS DR, Wilmington, NC 28401

Other Names 1

Professional Name (2)Toni A. Fischer Drumm Crnp

Secondary Practice Location 1

Location 13333 Silas Creek PkwyWinston Salem, NC 27103-3013 · Phone (336) 718-7041 · Fax (336) 718-9622

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

Toni Anne Drumm Crnp 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 ID42644205
PECOS Enrollment IDI20240304002738
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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
203 services119 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
190 services131 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
114 services106 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
111 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Nurse Practitioner (Family)
1414 PHYSICIANS DR
WILMINGTON, NC 28401
Internal Medicine (Hospice and Palliative Medicine)
1414 PHYSICIANS DR
WILMINGTON, NC 28401
Nurse Practitioner (Gerontology)
1414 PHYSICIANS DR
WILMINGTON, NC 28401
Nurse Practitioner
1414 PHYSICIANS DR
WILMINGTON, NC 28401
Internal Medicine (Hospice and Palliative Medicine)
1414 PHYSICIANS DR
WILMINGTON, NC 28401
Nurse Practitioner
1414 PHYSICIANS DR
WILMINGTON, NC 28401
Hospice Care, Community Based
1414 PHYSICIANS DR
WILMINGTON, NC 28401
Emergency Medicine
1414 PHYSICIANS DR
WILMINGTON, NC 28401

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 Drumm's NPI number?

The NPI number for Toni Drumm is 1104467802. It was assigned to this individual provider in the NPPES registry on October 3, 2019. The provider is also known as Toni A. Fischer Drumm Crnp.

Where is Toni Drumm located?

Toni Drumm practices at 1414 Physicians Dr, Wilmington, NC 28401. The listed phone number is (910) 796-7900.

What is Toni Drumm's specialty?

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

Is Toni Drumm enrolled in Medicare?

Yes. Toni Drumm 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 Drumm accept?

Health plans from Blue Cross and Blue Shield of NC list Toni Drumm 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 Drumm affiliated with any hospitals?

According to CMS data, Toni Drumm is affiliated with Novant Health Forsyth Medical Center and Novant Health New Hanover Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Toni Drumm was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.