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MRS. TONJA SIMMONS NORMAN FNP-C, PMHNP-BC
NPI 1275705725
Nurse Practitioner in Gastonia, NC

Active since March 25, 2008PECOS EnrolledAccepts Medicare Assignment
1558 UNION RD, SUITE A, GASTONIA, NC 28054(704) 810-7418(704) 810-6560 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tonja Simmons Norman Fnp-c, Pmhnp-bc NPPES

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

MRS. TONJA SIMMONS NORMAN FNP-C, PMHNP-BC (NPI 1275705725) is an individual nurse practitioner in Gastonia, North Carolina, licensed in North Carolina (5003959) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1275705725
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. TONJA SIMMONS NORMANCredential: FNP-C, PMHNP-BC
Location Address1558 UNION RD, SUITE AGastonia, NC 28054-2214
Mailing Address1558 Union Rd, Suite AGastonia, NC 28054-2214 · (704) 810-7418 · Fax (704) 810-6560
Phone(704) 810-7418
Fax(704) 810-6560
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMarch 25, 2008
Last NPPES UpdateApril 20, 2020
NPPES CertifiedApril 20, 2020
✔ NPI 1275705725 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 NC · 5003959
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 5003959 (NC)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 5003959 (NC)
1558 UNION RD, Gastonia, NC 28054
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Other Identifiers 1

Medicaid7004155NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tonja Simmons Norman Fnp-c, Pmhnp-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 ID4284712472
PECOS Enrollment IDI20080429000586
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 2

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.

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.
278 services59 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.
84 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 6

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

ELITE COMMUNITY HEALTH
Community/Behavioral Health
1558 UNION RD, SUITE D
GASTONIA, NC 28054
Gaston County (704) 864-9668
NEW HOPE PSYCHIATRIC SERVICES OF THE CAROLINAS
Nurse Practitioner
1558 UNION RD, SUITE A
GASTONIA, NC 28054
Gaston County (704) 810-7418
ELITE COMMUNITY HEALTH
Community/Behavioral Health
1558 UNION RD, SUITE D
GASTONIA, NC 28054
Gaston County (704) 864-9668
ELITE COMMUNITY HEALTH, LLC
Case Management
1558 UNION RD, SUITE D
GASTONIA, NC 28054
Gaston County (704) 864-9668
ELITE COMMUNITY HEALTH, LLC
Community/Behavioral Health
1558 UNION RD, SUITE D
GASTONIA, NC 28054
Gaston County (704) 864-9668
ELITE COMMUNITY HEALTH
Community/Behavioral Health
1558 UNION RD, SUITE D
GASTONIA, NC 28054
Gaston County (704) 864-9668

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 Tonja Norman's NPI number?

The NPI number for Tonja Norman is 1275705725. It was assigned to this individual provider in the NPPES registry on March 25, 2008.

Where is Tonja Norman located?

Tonja Norman practices at 1558 Union Rd Suite A, Gastonia, NC 28054. The listed phone number is (704) 810-7418.

What is Tonja Norman's specialty?

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

Is Tonja Norman enrolled in Medicare?

Yes. Tonja Norman 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.

What insurance does Tonja Norman accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Tonja Norman 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 Tonja Norman was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.