TONYA JOHANNES ARNP
NPI 1205292448
Nurse Practitioner - Family in Oskaloosa, IA

Active since January 04, 2016PECOS EnrolledAccepts Medicare Assignment
93.73/100
CMS Quality Rating
1229 C AVE E, OSKALOOSA, IA 52577(641) 672-3360 Get Directions Write a Review

NPPES record last updated: January 4, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Tonya Johannes Arnp NPPES

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

TONYA JOHANNES ARNP (NPI 1205292448) is an individual family provider in Oskaloosa, Iowa, licensed in Iowa (A122183) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Mahaska Health Partnership, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1205292448
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONYA JOHANNESCredential: ARNP
Location Address1229 C AVE EOskaloosa, IA 52577-4246
Mailing Address1229 C Ave EOskaloosa, IA 52577-4246 · (641) 672-3360
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 4, 2016
NPI 1205292448 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 IA · A122183
1229 C AVE E, Oskaloosa, IA 52577

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

Tonya Johannes Arnp 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 ID2062718869
PECOS Enrollment IDI20160303002091
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 2

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
106 services14 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
58 services13 patients

Hospital Affiliations CMS Care Compare

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

Mahaska Health Partnership

Critical Access Hospitals · Oskaloosa, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161379
Location1229 C Avenue EastOskaloosa, IA 52577 · Mahaska County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52577 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
4 suppliers16 claims44 services$6.62 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$41.46 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers25 claims25 services$204.11 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 20

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

Physical Therapy Assistant
1229 C AVE E
OSKALOOSA, IA 52577
Psychologist
1229 C AVE E, #300
OSKALOOSA, IA 52577
Family Medicine
1229 C AVE E
OSKALOOSA, IA 52577
Nurse Anesthetist, Certified Registered
1229 C AVE E
OSKALOOSA, IA 52577
Specialist/Technologist (Athletic Trainer)
1229 C AVE E
OSKALOOSA, IA 52577
Nurse Practitioner (Psychiatric/Mental Health)
1229 C AVE E
OSKALOOSA, IA 52577
Psychiatry & Neurology (Psychiatry)
1229 C AVE E
OSKALOOSA, IA 52577
Nurse Practitioner (Family)
1229 C AVE E
OSKALOOSA, IA 52577

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 Tonya Johannes's NPI number?

The NPI number for Tonya Johannes is 1205292448. It was assigned to this individual provider in the NPPES registry on January 4, 2016.

Where is Tonya Johannes located?

Tonya Johannes practices at 1229 C Ave E, Oskaloosa, IA 52577. The listed phone number is (641) 672-3360.

What is Tonya Johannes's specialty?

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

Is Tonya Johannes enrolled in Medicare?

Yes. Tonya Johannes 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 Tonya Johannes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Tonya Johannes 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 Tonya Johannes affiliated with any hospitals?

According to CMS data, Tonya Johannes is affiliated with Mahaska Health Partnership.

When was this NPI record last updated?

The NPPES record for Tonya Johannes was last updated on January 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.