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TONYA L NEWSOM FNP
NPI 1417256637
Nurse Practitioner in Germantown, TN

Active since March 28, 2011PECOS EnrolledAccepts Medicare Assignment
83.09/100
CMS Quality Rating
7675 WOLF RIVER CIR, SUITE#202, GERMANTOWN, TN 38138(901) 737-3021(901) 521-6405 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2018, Aug 24, 2018 (2 updates tracked since 2018).

About Tonya L Newsom Fnp NPPES

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

TONYA L NEWSOM FNP (NPI 1417256637) is an individual nurse practitioner in Germantown, Tennessee, licensed in Tennessee (APN0000015718) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Desoto, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1417256637
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTONYA L NEWSOMCredential: FNP
Location Address7675 WOLF RIVER CIR, SUITE#202Germantown, TN 38138
Mailing Address7675 Wolf River Cir, Circle Suite#202Germantown, TN 38138-1750 · (901) 737-3021 · Fax (901) 521-6405
Phone(901) 737-3021
Fax(901) 521-6405
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMarch 28, 2011
Last NPPES UpdateOctober 8, 20182 updates tracked since enumeration
✔ NPI 1417256637 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 TN · APN0000015718
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.
7675 WOLF RIVER CIR, Germantown, TN 38138
Open in Google Maps ↗

Other Identifiers 5

Medicaid1528835TN
OtherA810396MS · State License
OtherAPN0000015718TN · State License
Medicaid08031269MS
Medicaid1417256637MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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

Tonya L Newsom Fnp 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 ID8022293851
PECOS Enrollment IDI20110421000092, I20140117000937
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
159 services113 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
45 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Memorial Hospital Desoto

Acute Care Hospitals · Southaven, MS
1/5 CMS rating
OwnershipProprietary
CMS Certification Number250141
Location7601 Southcrest ParkwaySouthaven, MS 38671 · De Soto County
Emergency services Birthing friendly

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440048
Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38138 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

83.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.49
Promoting Interoperability84
Improvement Activities40
Cost72.3

Other Providers at the Same Location NPPES 7

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

DR. KALEY MICHELLE BURKS SIMPSON AUD
Audiologist
7675 WOLF RIVER CIR
GERMANTOWN, TN 38138
Shelby County (901) 682-1529
LISA THOMPSON M.A.
Audiologist-Hearing Aid Fitter
7675 WOLF RIVER CIR
GERMANTOWN, TN 38138
Shelby County (901) 682-1529
ASHLEY H MCCRARY
Speech-Language Pathologist
7675 WOLF RIVER CIR, SITE#202
GERMANTOWN, TN 38138
Shelby County (901) 737-3021
DR. RENA M. COLLING AU.D.
Audiologist
7675 WOLF RIVER CIR, SUITE 101
GERMANTOWN, TN 38138
Shelby County (901) 682-1529
DR. SARAH ELISABETH DAWKINS AU.D.
Audiologist
7675 WOLF RIVER CIR, SUITE 101
GERMANTOWN, TN 38138
Shelby County (901) 682-1529
DR. PATRICK R PERSON D.D.S.
Dentist (General Practice)
7675 WOLF RIVER CIR, SUITE 201
GERMANTOWN, TN 38138
Shelby County (901) 681-0777
OTOLARYNGOLOGY ASSOCIATES OF THE MIDSOUTH
Specialist
7675 WOLF RIVER CIR, SUITE 202
GERMANTOWN, TN 38138
Shelby County (901) 737-3021

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 Tonya Newsom's NPI number?

The NPI number for Tonya Newsom is 1417256637. It was assigned to this individual provider in the NPPES registry on March 28, 2011.

Where is Tonya Newsom located?

Tonya Newsom practices at 7675 Wolf River Cir Suite#202, Germantown, TN 38138. The listed phone number is (901) 737-3021.

What is Tonya Newsom's specialty?

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

Is Tonya Newsom enrolled in Medicare?

Yes. Tonya Newsom 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.

What insurance does Tonya Newsom accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 9 other insurers list Tonya Newsom 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.

Is Tonya Newsom affiliated with any hospitals?

According to CMS data, Tonya Newsom is affiliated with Baptist Memorial Hospital Desoto and Baptist Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tonya Newsom was last updated on October 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.