DWAYNE M TOOMER
NPI 1396050720
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA
About Dwayne M Toomer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DWAYNE M TOOMER (NPI 1396050720) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in New York (403026) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dwayne M Toomer 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.
Medicare Billing Reassignment
Medicare enrollment records show Dwayne Toomer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10009
- Reassigned Medicare billing, New York enrollment
- 186 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Dwayne Toomer's NPI number?
The NPI number for Dwayne Toomer is 1396050720. It was assigned to this individual provider in the NPPES registry on August 10, 2010.
Where is Dwayne Toomer located?
Dwayne Toomer practices at 718 Addison St Apt E, Philadelphia, PA 19147. The listed phone number is (215) 294-0817.
What is Dwayne Toomer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Dwayne Toomer enrolled in Medicare?
Yes. Dwayne Toomer 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.
Which organization bills Medicare for Dwayne Toomer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dwayne Toomer reassigns Medicare benefits to William F. Ryan Community Health Center Inc (New York, NY). The 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 Dwayne Toomer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dwayne Toomer was last updated on July 9, 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.
# Dwayne M Toomer · NPI 1396050720
Psychiatric/Mental Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 10, 2010.
## Identity
- **NPI:** 1396050720 (Entity type: Individual)
- **Enumerated:** August 10, 2010
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 403026 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 718 ADDISON ST APT E, Philadelphia, PA 19147-1353
- **Phone:** (215) 294-0817
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** William F. Ryan Community Health Center Inc (NPI 1588691828, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1396050720) · Data from the CMS NPPES public registry.