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TONI RICHEY CNM
NPI 1265560205
Advanced Practice Midwife in Tyler, TX

Active since March 01, 2007PECOS Enrolled
2231 W GENTRY PKWY, TYLER, TX 75702(903) 535-9041(903) 787-5098 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2024, Jan 18, 2023, Aug 5, 2022 and 1 more (4 updates tracked since 2015).

About Toni Richey Cnm NPPES

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

TONI RICHEY CNM (NPI 1265560205) is an individual advanced practice midwife in Tyler, Texas, licensed in Texas (AP111649) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265560205
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameTONI RICHEYCredential: CNM
Location Address2231 W GENTRY PKWYTyler, TX 75702-2809
Mailing Address523 S Fannin AveTyler, TX 75702-8204 · (903) 535-9041 · Fax (903) 747-8163
Phone(903) 535-9041
Fax(903) 787-5098
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateNovember 20, 20244 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1265560205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in TX · AP111649
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
2231 W GENTRY PKWY, Tyler, TX 75702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Toni Richey Cnm 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.

Medicare Billing Reassignment

Medicare enrollment records show Toni Richey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Health Science Center At Tyler
5.1 mi
Nurse Anesthetist, Certified Registered
11937 US HIGHWAY 271
Tyler, TX 75708
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: University Of Texas Health Science Center At Tyler-Facilty-Physician
  • 299 clinicians in this Medicare group
NPI 1992868186 (903) 877-7777

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 75702 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 7

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

LORENA SANTORO DO
Family Medicine
2231 W GENTRY PKWY
TYLER, TX 75702
Smith County (903) 535-9041
KHOTWANAEYA A MWAMBA M.D.
Pediatrics
2231 W GENTRY PKWY
TYLER, TX 75702
Smith County (903) 535-9041
MATTHEW BOEHME D.O.
Internal Medicine
2231 W GENTRY PKWY
TYLER, TX 75702
Smith County (903) 535-9041
MARYAH SMITH
Nurse Practitioner (Pediatrics)
2231 W GENTRY PKWY
TYLER, TX 75702
Smith County (903) 535-9041
JOSEPH RAY WATT MS
Counselor (Mental Health)
2231 W GENTRY PKWY
TYLER, TX 75702
Smith County (903) 535-9041
CICELY LANEIGH ISABELL
Nurse Practitioner (Family)
2231 W GENTRY PKWY
TYLER, TX 75702
Smith County (903) 535-9041
SUNITA KARKI FNP
Nurse Practitioner
2231 W GENTRY PKWY
TYLER, TX 75702
Smith County (903) 535-9041

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 Richey's NPI number?

The NPI number for Toni Richey is 1265560205. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Toni Richey located?

Toni Richey practices at 2231 W Gentry Pkwy, Tyler, TX 75702. The listed phone number is (903) 535-9041.

What is Toni Richey's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Toni Richey enrolled in Medicare?

Yes. Toni Richey is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Toni Richey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Richey reassigns Medicare benefits to University Of Texas Health Science Center At Tyler (Tyler, TX). The 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 Toni Richey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Richey accept?

Health plans from Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Toni Richey 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 Toni Richey was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.