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TONI PERKINS APRN, FNP-C
NPI 1366980336
Nurse Practitioner - Family in Denton, TX

Active since February 09, 2017PECOS Enrolled
79.87/100
CMS Quality Rating
2501 SCRIPTURE ST STE 201, DENTON, TX 76201(940) 566-4720(940) 566-4727 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2020, Feb 9, 2017 (2 updates tracked since 2017).

About Toni Perkins Aprn, Fnp-c NPPES

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

TONI PERKINS APRN, FNP-C (NPI 1366980336) is an individual family provider in Denton, Texas, licensed in Texas (AP133241) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366980336
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI PERKINSCredential: APRN, FNP-C
Location Address2501 SCRIPTURE ST STE 201Denton, TX 76201-2314
Mailing Address2501 Scripture St Ste 201Denton, TX 76201-2314 · (940) 566-4720 · Fax (940) 566-4727
Phone(940) 566-4720
Fax(940) 566-4727
Sole ProprietorNo
Enumeration DateFebruary 9, 2017
Last NPPES UpdateJune 19, 20202 updates tracked since enumeration
NPPES CertifiedJune 19, 2020
✔ NPI 1366980336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP133241
2501 SCRIPTURE ST STE 201, Denton, TX 76201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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 Perkins Aprn, Fnp-c 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

2

Medicare enrollment records show Toni Perkins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Texas Digestive Disease Consultants, PLLC
13 mi
Gastroenterology
4370 MEDICAL ARTS DR STE 295
Flower Mound, TX 75028
  • Reassigned Medicare billing, Texas enrollment
  • 575 clinicians in this Medicare group
NPI 1689650475 (972) 691-3777
Christine Holland MD PA
25 mi
Family Medicine
800 MEDICAL CENTER DR STE C
Decatur, TX 76234
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Christine Holland, M.D., P. A.
  • 59 clinicians in this Medicare group
NPI 1962677740 (940) 626-2110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
130 services112 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.
128 services110 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76201 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

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 Perkins's NPI number?

The NPI number for Toni Perkins is 1366980336. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Toni Perkins located?

Toni Perkins practices at 2501 Scripture St Ste 201, Denton, TX 76201. The listed phone number is (940) 566-4720.

What is Toni Perkins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Toni Perkins enrolled in Medicare?

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

Which organizations bill Medicare for Toni Perkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Perkins reassigns Medicare benefits to 2 organizations: Texas Digestive Disease Consultants, PLLC (Flower Mound, TX) and Christine Holland MD PA (Decatur, TX). 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 Toni Perkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Perkins accept?

Health plans from Blue Cross and Blue Shield of Texas list Toni Perkins 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 Perkins was last updated on June 19, 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.