MARGARET E TOL NP
NPI 1225637325
Nurse Practitioner - Family in Grand Rapids, MI

Active since October 20, 2020PECOS Enrolled
86.44/100
CMS Quality Rating
145 MICHIGAN ST NE STE 3100, GRAND RAPIDS, MI 49503(616) 954-9800 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2021, Oct 20, 2020 (2 updates tracked since 2020).

About Margaret E Tol Np NPPES

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

MARGARET E TOL NP (NPI 1225637325) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704181930) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225637325
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARGARET E TOLCredential: NP
Location Address145 MICHIGAN ST NE STE 3100Grand Rapids, MI 49503-2563
Mailing Address5800 Foremost Dr Se Ste 300Grand Rapids, MI 49546-7062
Sole ProprietorNo
Enumeration DateOctober 20, 2020
Last NPPES UpdateApril 22, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
NPI 1225637325 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 MI · 4704181930
145 MICHIGAN ST NE STE 3100, Grand Rapids, MI 49503

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 (PECOS)

Margaret E Tol Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

86.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.93
Promoting Interoperability100
Improvement Activities40
Cost41.91

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.

Pharmacist
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Nurse Practitioner
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Internal Medicine (Hematology & Oncology)
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Physician Assistant (Medical)
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Pharmacist
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Pharmacist
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503
Physician Assistant
145 MICHIGAN ST NE STE 3100
GRAND RAPIDS, MI 49503

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 Margaret Tol's NPI number?

The NPI number for Margaret Tol is 1225637325. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Where is Margaret Tol located?

Margaret Tol practices at 145 Michigan St NE Ste 3100, Grand Rapids, MI 49503. The listed phone number is (616) 954-9800.

What is Margaret Tol's specialty?

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

Is Margaret Tol enrolled in Medicare?

Yes. Margaret Tol is registered in the Medicare PECOS enrollment system.

What insurance does Margaret Tol accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health list Margaret Tol 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 Margaret Tol was last updated on April 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.