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TONIA M BADURA CNM
NPI 1265704167
Advanced Practice Midwife in Largo, FL

Active since February 08, 2012PECOS Enrolled
1301 2ND AVE SW, LARGO, FL 33770(727) 462-2229(727) 447-5610 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2023, Oct 27, 2022, Oct 3, 2022 and 3 more (6 updates tracked since 2018).

About Tonia M Badura Cnm NPPES

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

TONIA M BADURA CNM (NPI 1265704167) is an individual advanced practice midwife in Largo, Florida, licensed in Florida (ARNP9476990) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265704167
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameTONIA M BADURACredential: CNM
Location Address1301 2ND AVE SWLargo, FL 33770-3120
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Phone(727) 462-2229
Fax(727) 447-5610
Sole ProprietorNo
Enumeration DateFebruary 8, 2012
Last NPPES UpdateJanuary 16, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1265704167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in FL · ARNP9476990
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.
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN9476990 (FL)
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License ARNP9476990 (FL)
1301 2ND AVE SW, Largo, FL 33770
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1401 Corbett StBelleair, FL 33756 · Phone (727) 462-2229 · Fax (727) 447-5610
Location 21020 N 12th St, 1st flMilwaukee, WI 53233-1308 · Phone (414) 219-6649

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tonia M Badura 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 Reassignments

3

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

Women's Care Florida LLC
18 mi
Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Womens Care Florida LLC
  • 679 clinicians in this Medicare group
NPI 1013902923 (813) 286-0333
Womens' Health Hospitalists, LLC
18 mi
Obstetrics & Gynecology
4030 W BOY SCOUT BLVD STE 800
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 619 clinicians in this Medicare group
NPI 1205295599 (813) 286-0333
Pediatrix Medical Group Of Florida Inc
195 mi
Pediatric Cardiology
1301 CONCORD TER
Sunrise, FL 33323
  • Reassigned Medicare billing, Florida enrollment
  • 236 clinicians in this Medicare group
NPI 1083711790 (954) 384-0175

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 33770 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 20

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

DR. JAMES F. RIVENBARK M.D.
Internal Medicine
1301 2ND AVE SW
LARGO, FL 33770
Pinellas County (727) 584-7706
DR. CHRISTOPHER JOSEPH LETO M.D.
Otolaryngology
1301 2ND AVE SW
LARGO, FL 33770
Pinellas County (727) 341-0551
DR. BEATA B NOWAKOWSKA M.D.
Radiology (Diagnostic Radiology)
1301 2ND AVE SW
LARGO, FL 33770
Pinellas County (727) 581-8767
ASHLEY NICOLE LONG D.O
Obstetrics & Gynecology
1301 2ND AVE SW
LARGO, FL 33770
Pinellas County (727) 462-2229
DIAGNOSTIC CLINIC MEDICAL GROUP, INC.
Clinic/Center (Radiology)
1301 2ND AVE SW
LARGO, FL 33770
Pinellas County (727) 581-8767
KIERSTEN CRABTREE APRN
Nurse Practitioner (Family)
1301 2ND AVE SW
LARGO, FL 33770
Pinellas County (727) 584-7706
MRS. BROOKE ELLEN RITTER D.O.
Obstetrics & Gynecology (Gynecology)
1301 2ND AVE SW
LARGO, FL 33770
Pinellas County (727) 462-2229
DR. HOWARD ALAN MANHOFF MD
Radiology (Diagnostic Radiology)
1301 2ND AVE SW
LARGO, FL 33770
Pinellas County (727) 501-7287

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 Tonia Badura's NPI number?

The NPI number for Tonia Badura is 1265704167. It was assigned to this individual provider in the NPPES registry on February 8, 2012.

Where is Tonia Badura located?

Tonia Badura practices at 1301 2nd Ave SW, Largo, FL 33770. The listed phone number is (727) 462-2229.

What is Tonia Badura's specialty?

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

Is Tonia Badura enrolled in Medicare?

Yes. Tonia Badura is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tonia Badura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonia Badura reassigns Medicare benefits to 3 organizations: Women's Care Florida LLC (Tampa, FL), Womens' Health Hospitalists, LLC (Tampa, FL) and Pediatrix Medical Group Of Florida Inc (Sunrise, FL). 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 Tonia Badura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonia Badura accept?

Health plans from Wellpoint list Tonia Badura 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 Tonia Badura was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.