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TONI LYNN NELSON CFNP
NPI 1336134675
Nurse Practitioner in Reston, VA

Active since September 13, 2005PECOS Enrolled
11800 SUNRISE VALLEY DR, SUITE 700, RESTON, VA 20191(703) 834-1473(703) 318-7463 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Toni Lynn Nelson Cfnp NPPES

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

TONI LYNN NELSON CFNP (NPI 1336134675) is an individual nurse practitioner in Reston, Virginia, licensed in Virginia (0024138096) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336134675
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTONI LYNN NELSONCredential: CFNP
Location Address11800 SUNRISE VALLEY DR, SUITE 700Reston, VA 20191-5300
Mailing Address12011 Lee Jackson Memorial Hwy, Suite 504Fairfax, VA 22033-3310 · (703) 391-2030 · Fax (703) 273-3943
Phone(703) 834-1473
Fax(703) 318-7463
Sole ProprietorNo
Enumeration DateSeptember 13, 2005
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedOctober 16, 2020
✔ NPI 1336134675 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 VA · 0024138096
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.
11800 SUNRISE VALLEY DR, Reston, VA 20191
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Toni Lynn Nelson Cfnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20191 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%3,915 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
67%339 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%30 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
47%751 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%205 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
95%205 patients5/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
82%205 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

GEMMA LEONARD DPT
Physical Therapist
11800 SUNRISE VALLEY DR
RESTON, VA 20191
Fairfax County (703) 709-1118
MRS. TRISTEN RUTHANNE CASE PA-C
Physician Assistant (Medical)
11800 SUNRISE VALLEY DR
RESTON, VA 20191
Fairfax County (703) 709-1114
MR. EARL LAURENCE GRINE JR. PT, MSPT, ATC, CSCS
Physical Therapist
11800 SUNRISE VALLEY DR, 100
RESTON, VA 20191
Fairfax County (703) 709-1116
DONG-SOO HONG DMD
Dentist (Prosthodontics)
11800 SUNRISE VALLEY DR, SUITE 350
RESTON, VA 20191
Fairfax County (703) 471-4797
DR. PAUL DAVID ELLINGTON JR. DPT
Physical Therapist (Orthopedic)
11800 SUNRISE VALLEY DR
RESTON, VA 20191
Fairfax County (703) 709-1116
JOHN J. FAINSAN MSPT, CSCS
Physical Therapist
11800 SUNRISE VALLEY DR, 100
RESTON, VA 20191
Fairfax County (703) 709-1116
HANNAH SNYDER PA-C
Physician Assistant
11800 SUNRISE VALLEY DR
RESTON, VA 20191
Fairfax County (703) 709-1114
DONG-SOO HONG DMD PLLC
Dentist (Prosthodontics)
11800 SUNRISE VALLEY DR
RESTON, VA 20191
Fairfax County (703) 850-6566

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 Nelson's NPI number?

The NPI number for Toni Nelson is 1336134675. It was assigned to this individual provider in the NPPES registry on September 13, 2005.

Where is Toni Nelson located?

Toni Nelson practices at 11800 Sunrise Valley Dr Suite 700, Reston, VA 20191. The listed phone number is (703) 834-1473.

What is Toni Nelson's specialty?

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

Is Toni Nelson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Toni Nelson was last updated on November 27, 2023. 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.