PATRICIA TOOLAN NP
NPI 1326025255
Nurse Practitioner in West Islip, NY

Active since December 30, 2005PECOS EnrolledAccepts Medicare Assignment
84.39/100
CMS Quality Rating
540 UNION BLVD, WEST ISLIP, NY 11795(631) 669-2555(631) 669-3051 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patricia Toolan Np NPPES

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

PATRICIA TOOLAN NP (NPI 1326025255) is an individual nurse practitioner in West Islip, New York, licensed in New York (F3337951) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2002).

NPPES Registry Identity

NPI1326025255
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePATRICIA TOOLANCredential: NP
Location Address540 UNION BLVDWest Islip, NY 11795-3105
Mailing Address540 Union BlvdWest Islip, NY 11795-3105 · (631) 669-2555 · Fax (631) 669-3051
Fax(631) 669-3051
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2002
Enumeration DateDecember 30, 2005
Last NPPES UpdateAugust 25, 2014
NPI 1326025255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in NY · F3337951
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.
540 UNION BLVD, West Islip, NY 11795

Other Identifiers 2

Medicaid02384352NY
Medicare PINA400029361NY

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

Patricia Toolan Np 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 ID6507852613
PECOS Enrollment IDI20040423000409
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 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
211 services194 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.
155 services150 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.
88 services82 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.34
Promoting Interoperability100
Improvement Activities40
Cost57.02

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.19 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$33.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Adult Health)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Clinical Cardiac Electrophysiology)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Nurse Practitioner (Family)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795
Internal Medicine (Cardiovascular Disease)
540 UNION BLVD
WEST ISLIP, NY 11795

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 Patricia Toolan's NPI number?

The NPI number for Patricia Toolan is 1326025255. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Patricia Toolan located?

Patricia Toolan practices at 540 Union Blvd, West Islip, NY 11795. The listed phone number is (631) 669-2555.

What is Patricia Toolan's specialty?

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

Is Patricia Toolan enrolled in Medicare?

Yes. Patricia Toolan 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.

Is Patricia Toolan affiliated with any hospitals?

According to CMS data, Patricia Toolan is affiliated with St Francis Hospital - The Heart Center and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Patricia Toolan was last updated on August 25, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.