Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELLE LYN TOLBERT APRN FNP BC
NPI 1255050514
Nurse Practitioner - Family in Kent, CT

Active since August 22, 2022PECOS Enrolled
27 N MAIN ST UNIT 7A, KENT, CT 06757(860) 592-0014(833) 455-9330 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, Sep 27, 2022, Aug 22, 2022 (3 updates tracked since 2022).

About Michelle Lyn Tolbert Aprn Fnp Bc NPPES

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

MICHELLE LYN TOLBERT APRN FNP BC (NPI 1255050514) is an individual family provider in Kent, Connecticut, licensed in Connecticut (10872) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255050514
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE LYN TOLBERTCredential: APRN FNP BC
Location Address27 N MAIN ST UNIT 7AKent, CT 06757-1551
Mailing AddressPo Box 98Kent, CT 06757-0098 · (860) 593-0014 · Fax (833) 592-0014
Fax(833) 455-9330
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 22, 2022
Last NPPES UpdateNovember 4, 20263 updates tracked since enumeration
NPPES CertifiedNovember 4, 2026
✔ NPI 1255050514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 10872
Also ListedFamily MedicineTaxonomy 207Q00000X · License 10872 (CT)
27 N MAIN ST UNIT 7A, Kent, CT 06757

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

Michelle Lyn Tolbert Aprn Fnp Bc 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 ID2365819638
PECOS Enrollment IDI20221031002018
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Tolbert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
317 FOXON RD
East Haven, CT 06513
  • Reassigned Medicare billing, Connecticut enrollment
  • 35 clinicians in this Medicare group
Family Medicine
317 FOXON ROAD 2B
East Haven, CT 06513
  • Reassigned Medicare billing, Connecticut enrollment
  • 31 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 9

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
152 services103 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.
115 services71 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.
104 services91 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
68 services68 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
55 services53 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
55 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06757 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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

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

Nurse Practitioner (Family)
27 N MAIN ST UNIT 7A
KENT, CT 06757

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 Michelle Tolbert's NPI number?

The NPI number for Michelle Tolbert is 1255050514. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Michelle Tolbert located?

Michelle Tolbert practices at 27 N Main St Unit 7A, Kent, CT 06757. The listed phone number is (860) 592-0014.

What is Michelle Tolbert's specialty?

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

Is Michelle Tolbert enrolled in Medicare?

Yes. Michelle Tolbert 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 Michelle Tolbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Tolbert reassigns Medicare benefits to 2 organizations: Ct Medical Group Inc. (East Haven, CT) and Docs Medical Inc (East Haven, CT). 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 Michelle Tolbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Tolbert accept?

Health plans from Anthem Blue Cross and Blue Shield list Michelle Tolbert 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 Michelle Tolbert was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.