KAREN TONNER PMHNP
NPI 1376053736
Nurse Practitioner - Psychiatric/Mental Health in Fredericksburg, VA

Active since October 11, 2017PECOS Enrolled
150 RIVERSIDE PKWY, FREDERICKSBURG, VA 22406(315) 848-5311 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 6, 2026, Mar 24, 2026, Sep 28, 2022 and 1 more (4 updates tracked since 2017).

About Karen Tonner Pmhnp NPPES

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

KAREN TONNER PMHNP (NPI 1376053736) is an individual psychiatric/mental health provider in Fredericksburg, Virginia, licensed in Georgia (RN234107) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376053736
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKAREN TONNERCredential: PMHNP
Location Address150 RIVERSIDE PKWYFredericksburg, VA 22406-1094
Mailing Address3600 Dallas Hwy Sw Ste 230Marietta, GA 30064-1685 · (660) 460-6505
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 11, 2017
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1376053736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in GA · RN234107✔ Licensed in KS · 53-78572-051
150 RIVERSIDE PKWY, Fredericksburg, VA 22406

Secondary Practice Locations 4

Location 1109 W 27th St Rm 5SNew York, NY 10001-6208 · Phone (833) 351-8255
Location 29620 NE Tanasbourne DrHillsboro, OR 97124-7843 · Phone (315) 848-5311
Location 38101 College Blvd Ste 100Overland Park, KS 66210-2671 · Phone (315) 848-5311
Location 48500 Normandale Lake BlvdBloomington, MN 55437-3813 · Phone (315) 848-5311

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Tonner Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507108651
PECOS Enrollment IDI20260513000889
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

5

Medicare enrollment records show Karen Tonner reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
109 W 27TH ST # 5S
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 590 clinicians in this Medicare group
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Minnesota, Oregon and Virginia enrollments
  • 15 clinicians in this Medicare group
Psychiatry
8101 COLLEGE BLVD STE 100
Overland Park, KS 66210
  • Reassigned Medicare billing, Kansas enrollment
  • 13 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
200 MAINE ST, STE A
Lawrence, KS 66044
  • Reassigned Medicare billing, Kansas enrollment
  • 66 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
208 E 7TH ST
Hays, KS 67601
  • Reassigned Medicare billing, Kansas enrollment
  • 38 clinicians in this Medicare group

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

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.
239 services78 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22406 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 9

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

Psychologist
150 RIVERSIDE PKWY
FREDERICKSBURG, VA 22406
Counselor (Mental Health)
150 RIVERSIDE PKWY, SUITE 300
FREDERICKSBURG, VA 22406
Counselor (Mental Health)
150 RIVERSIDE PKWY
FREDERICKSBRG, VA 22406
Psychiatry & Neurology (Psychiatry)
150 RIVERSIDE PKWY
FREDERICKSBURG, VA 22406
Psychiatry & Neurology (Psychiatry)
150 RIVERSIDE PKWY
FREDERICKSBURG, VA 22406
Psychiatry & Neurology (Psychiatry)
150 RIVERSIDE PKWY
FREDERICKSBURG, VA 22406
Nurse Practitioner (Psychiatric/Mental Health)
150 RIVERSIDE PKWY
FREDERICKSBURG, VA 22406
Social Worker (Clinical)
150 RIVERSIDE PKWY
FREDERICKSBURG, VA 22406

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 Karen Tonner's NPI number?

The NPI number for Karen Tonner is 1376053736. It was assigned to this individual provider in the NPPES registry on October 11, 2017.

Where is Karen Tonner located?

Karen Tonner practices at 150 Riverside Pkwy, Fredericksburg, VA 22406. The listed phone number is (315) 848-5311.

What is Karen Tonner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Karen Tonner enrolled in Medicare?

Yes. Karen Tonner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karen Tonner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Tonner reassigns Medicare benefits to 5 organizations: Mccd Psychiatry Services PLLC (New York, NY), Mccd Fl Psychiatry Services PA (Jacksonville, FL), Mccd Ks Psychiatry Services PA (Overland Park, KS), Bert Nash Community Mental Health Center Inc (Lawrence, KS) and High Plains Mental Health Center (Hays, KS). 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 Karen Tonner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Tonner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas, Inc. and 2 other insurers list Karen Tonner 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 Karen Tonner was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.