TONIA M DANIELS C-FNP
NPI 1225144603
Nurse Practitioner - Family in South Charleston, WV
About Tonia M Daniels C-fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONIA M DANIELS C-FNP (NPI 1225144603) is an individual family provider in South Charleston, West Virginia, licensed in West Virginia (APRN49375) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Beckley, and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Tonia M Daniels C-fnp 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.
Medicare Billing Reassignments
4Medicare enrollment records show Tonia Daniels reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charleston, WV 25309
- Reassigned Medicare billing, West Virginia enrollment
- 17 clinicians in this Medicare group
Beckley, WV 25801
- Reassigned Medicare billing, West Virginia enrollment
- 5 clinicians in this Medicare group
Easton, MD 21601
- Reassigned Medicare billing, West Virginia enrollment
- 10 clinicians in this Medicare group
Joliet, IL 60435
- Reassigned Medicare billing, West Virginia enrollment
- 15 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tonia Daniels's NPI number?
The NPI number for Tonia Daniels is 1225144603. It was assigned to this individual provider in the NPPES registry on August 21, 2006.
Where is Tonia Daniels located?
Tonia Daniels practices at 607 Chestnut St, South Charleston, WV 25309. The listed phone number is (304) 766-9136.
What is Tonia Daniels's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tonia Daniels enrolled in Medicare?
Yes. Tonia Daniels 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 organizations bill Medicare for Tonia Daniels's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonia Daniels reassigns Medicare benefits to 4 organizations: Mountaineer Family Medicine, Inc. (Charleston, WV), Southern West Virginia Primary Care Inc (Beckley, WV), Skyline Wound Care PLLC (Easton, MD) and Pinnacle Dermatology, Sc (Joliet, IL). Each 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 Tonia Daniels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tonia Daniels accept?
Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and UnitedHealthcare list Tonia Daniels 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 Tonia Daniels was last updated on November 22, 2022. 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.
# Tonia M Daniels, C-FNP · NPI 1225144603
Family physician in South Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since August 21, 2006.
## Identity
- **NPI:** 1225144603 (Entity type: Individual)
- **Enumerated:** August 21, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN49375 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 607 CHESTNUT ST, South Charleston, WV 25309-1205
- **Phone:** (304) 766-9136 · **Fax:** (304) 766-9139
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mountaineer Family Medicine, Inc. (NPI 1295874436, Charleston, WV); Southern West Virginia Primary Care Inc (NPI 1598147431, Beckley, WV); Skyline Wound Care PLLC (NPI 1407343601, Easton, MD); Pinnacle Dermatology, Sc (NPI 1861930984, Joliet, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** November 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1225144603) · Data from the CMS NPPES public registry.