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LAURI ANN TOOHEY ANP
NPI 1124276779
Nurse Practitioner in Worcester, MA

Active since September 08, 2008PECOS EnrolledAccepts Medicare Assignment
630 PLANTATION ST, WORCESTER, MA 01605(508) 595-2000(508) 853-7149 Get Directions Write a Review

NPPES record last updated: May 19, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lauri Ann Toohey Anp NPPES

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

LAURI ANN TOOHEY ANP (NPI 1124276779) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (211175) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of University Of Massachusetts Medical School (2008).

NPPES Registry Identity

NPI1124276779
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAURI ANN TOOHEYCredential: ANP
Location Address630 PLANTATION STWorcester, MA 01605-2038
Mailing Address630 Plantation StWorcester, MA 01605-2038 · (508) 595-2000 · Fax (508) 853-7149
Phone(508) 595-2000
Fax(508) 853-7149
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2008
Enumeration DateSeptember 8, 2008
Last NPPES UpdateMay 19, 2017
✔ NPI 1124276779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · 211175
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.
630 PLANTATION ST, Worcester, MA 01605
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Other Names 1

Former Name (1)Lauri Ann Newbould

Other Identifiers 1

Medicare PIN0719633MA

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

Lauri Ann Toohey Anp 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 ID5991869117
PECOS Enrollment IDI20090202000468
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 4

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
126 services78 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
37 services30 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
27 services22 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Worcester, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220176
Location123 Summer StreetWorcester, MA 01608 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

RELIANT MEDICAL GROUP, INC
Nutritionist
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 852-0600
LINDSEY M. GESUALDI RD
Dietitian, Registered
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 852-6175
LAURA J BESSETTE MD
Internal Medicine
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 595-2300
JANET STRASSMAN PERLMUTTER LICSW
Social Worker
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 852-5529
RUTH REMINGTON NP
Nurse Practitioner (Adult Health)
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 595-2000
JAN H BROZOVSKY NP
Nurse Practitioner
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 595-2000
ALYSSA ANN SUNDSTROM CPNP
Nurse Practitioner (Pediatrics)
630 PLANTATION ST, WOT 12TH FL
WORCESTER, MA 01605
Worcester County (508) 852-8570
WILLIAM D SELIM MD
Pediatrics
630 PLANTATION ST
WORCESTER, MA 01605
Worcester County (508) 852-8570

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 Lauri Toohey's NPI number?

The NPI number for Lauri Toohey is 1124276779. It was assigned to this individual provider in the NPPES registry on September 8, 2008. The provider is also known as Lauri Ann Newbould.

Where is Lauri Toohey located?

Lauri Toohey practices at 630 Plantation St, Worcester, MA 01605. The listed phone number is (508) 595-2000.

What is Lauri Toohey's specialty?

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

Is Lauri Toohey enrolled in Medicare?

Yes. Lauri Toohey 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.

Is Lauri Toohey affiliated with any hospitals?

According to CMS data, Lauri Toohey is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Medical Center/University Campus and St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Lauri Toohey was last updated on May 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.