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TOYA ANN ALDER ARNP-C
NPI 1255819157
Nurse Practitioner - Adult Health in Palm Bay, FL

Active since August 02, 2018PECOS Enrolled
75/100
CMS Quality Rating
3255 BAYSIDE LAKES BLVD SE, PALM BAY, FL 32909(772) 226-6859(877) 569-3011 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 22, 2026, Apr 20, 2021, Aug 6, 2019 and 3 more (6 updates tracked since 2018).

About Toya Ann Alder Arnp-c NPPES

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

TOYA ANN ALDER ARNP-C (NPI 1255819157) is an individual adult health provider in Palm Bay, Florida, licensed in Florida (APRN9233342) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255819157
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTOYA ANN ALDERCredential: ARNP-C
Location Address3255 BAYSIDE LAKES BLVD SEPalm Bay, FL 32909-6875
Mailing Address3255 Bayside Lakes Blvd Se Ste 105Palm Bay, FL 32909-6875 · (772) 226-6859 · Fax (877) 569-3011
Phone(772) 226-6859
Fax(877) 569-3011
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 2, 2018
Last NPPES UpdateJanuary 22, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1255819157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in FL · APRN9233342
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AG07180092 (FL)
3255 BAYSIDE LAKES BLVD SE, Palm Bay, FL 32909
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Other Identifiers 1

Medicaid100782200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and more.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)

Toya Ann Alder Arnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486906633
PECOS Enrollment IDI20181016002830
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 7

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,583 services240 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,432 services214 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.
81 services42 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
60 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.
47 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32909 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims18 services$16.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Toya Alder's NPI number?

The NPI number for Toya Alder is 1255819157. It was assigned to this individual provider in the NPPES registry on August 2, 2018.

Where is Toya Alder located?

Toya Alder practices at 3255 Bayside Lakes Blvd SE, Palm Bay, FL 32909. The listed phone number is (772) 226-6859.

What is Toya Alder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Toya Alder enrolled in Medicare?

Yes. Toya Alder is registered in the Medicare PECOS enrollment system.

What insurance does Toya Alder accept?

Health plans from Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Toya Alder 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 Toya Alder was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.