TONI M HINZ APNP
NPI 1245951029
Nurse Practitioner - Family in Fond Du Lac, WI

Active since September 08, 2022PECOS EnrolledAccepts Medicare Assignment
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 251-7688 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2022, Sep 8, 2022 (2 updates tracked since 2022).

About Toni M Hinz Apnp NPPES

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

TONI M HINZ APNP (NPI 1245951029) is an individual family provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (13110) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245951029
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI M HINZCredential: APNP
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address430 E Division StFond Du Lac, WI 54935-4560 · (920) 929-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 8, 2022
Last NPPES UpdateSeptember 12, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2022
NPI 1245951029 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 WI · 13110
430 E DIVISION ST, Fond Du Lac, WI 54935

Other Names 1

Former Name (1)Toni M Broennimann Apnp

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 M Hinz Apnp 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 ID4789050071
PECOS Enrollment IDI20221011001469
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.

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.
94 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Ripon Medical Center

Critical Access Hospitals · Ripon, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521321
Location845 Parkside StRipon, WI 54971 · Fond Du Lac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935

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 Hinz's NPI number?

The NPI number for Toni Hinz is 1245951029. It was assigned to this individual provider in the NPPES registry on September 8, 2022. The provider is also known as Toni M Broennimann Apnp.

Where is Toni Hinz located?

Toni Hinz practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 251-7688.

What is Toni Hinz's specialty?

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

Is Toni Hinz enrolled in Medicare?

Yes. Toni Hinz 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 Hinz accept?

Health plans from Network Health and Quartz list Toni Hinz 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 Hinz affiliated with any hospitals?

According to CMS data, Toni Hinz is affiliated with St. Agnes Hospital Hospice and Ripon Medical Center.

When was this NPI record last updated?

The NPPES record for Toni Hinz was last updated on September 12, 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.