MRS. APRIL I TOLBERT FNP-C
NPI 1255336269
Nurse Practitioner in Indianapolis, IN

Active since June 16, 2005PECOS EnrolledAccepts Medicare Assignment
5940 DECATUR BLVD, INDIANAPOLIS, IN 46241(317) 856-2945(317) 856-5122 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. April I Tolbert Fnp-c NPPES

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

MRS. APRIL I TOLBERT FNP-C (NPI 1255336269) is an individual nurse practitioner in Indianapolis, Indiana, licensed in Indiana (71013097A) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1255336269
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. APRIL I TOLBERTCredential: FNP-C
Location Address5940 DECATUR BLVDIndianapolis, IN 46241-9579
Mailing Address5940 Decatur BlvdIndianapolis, IN 46241-9579 · (317) 856-2945 · Fax (252) 399-0747
Fax(317) 856-5122
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 16, 2005
Last NPPES UpdateAugust 8, 2023
NPPES CertifiedAugust 7, 2023
✔ NPI 1255336269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71013097A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedLegal MedicineTaxonomy 173000000X · License 201316 (NC)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 71013097A (IN)
5940 DECATUR BLVD, Indianapolis, IN 46241

Other Identifiers 1

Other500013579NC · Railroad Medicare

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

Mrs. April I Tolbert Fnp-c 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 ID2769587534
PECOS Enrollment IDI20221006003359
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

3

Medicare enrollment records show April Tolbert reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
429 E VERMONT ST STE 110
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 45 clinicians in this Medicare group
Family Medicine
429 E VERMONT ST STE 110
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 31 clinicians in this Medicare group
Urgent Care
5080 SPECTRUM DRIVE, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Indiana enrollment
  • 50 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46241 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 10

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

Nurse Practitioner (Acute Care)
5940 DECATUR BLVD
INDIANAPOLIS, IN 46241
Internal Medicine
5940 DECATUR BLVD
INDIANAPOLIS, IN 46241
Clinic/Center (Urgent Care)
5940 DECATUR BLVD
INDIANAPOLIS, IN 46241
Physical Therapist
5940 DECATUR BLVD
INDIANAPOLIS, IN 46241
Clinic/Center (Health Service)
5940 DECATUR BLVD
INDIANAPOLIS, IN 46241
Clinic/Center (Occupational Medicine)
5940 DECATUR BLVD
INDIANAPOLIS, IN 46241
Physical Therapist
5940 DECATUR BLVD
INDIANAPOLIS, IN 46241
Physical Therapist
5940 DECATUR BLVD
INDIANAPOLIS, IN 46241

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 April Tolbert's NPI number?

The NPI number for April Tolbert is 1255336269. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Where is April Tolbert located?

April Tolbert practices at 5940 Decatur Blvd, Indianapolis, IN 46241. The listed phone number is (317) 856-2945.

What is April Tolbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is April Tolbert enrolled in Medicare?

Yes. April 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 April Tolbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), April Tolbert reassigns Medicare benefits to 3 organizations: My Mobile MD LLC (Indianapolis, IN), My Mobile MD Indiana LLC (Indianapolis, IN) and American Current Care PA (Addison, TX). 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 April Tolbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does April Tolbert accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list April 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 April Tolbert was last updated on August 8, 2023. 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.