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TONI RENEE GAULTIER N.P.
NPI 1467445619
Nurse Practitioner in Traverse City, MI

Active since August 23, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1221 6TH ST, SUITE 306, TRAVERSE CITY, MI 49684(231) 935-2400(231) 935-2424 Get Directions Write a Review

NPPES record last updated: May 7, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Toni Renee Gaultier N.p. NPPES

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

TONI RENEE GAULTIER N.P. (NPI 1467445619) is an individual nurse practitioner in Traverse City, Michigan, licensed in Michigan (TG127054) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1467445619
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTONI RENEE GAULTIERCredential: N.P.
Location Address1221 6TH ST, SUITE 306Traverse City, MI 49684-2359
Mailing Address1221 6th St, Suite 306Traverse City, MI 49684-2359 · (231) 935-2400 · Fax (231) 935-2424
Phone(231) 935-2400
Fax(231) 935-2424
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 23, 2005
Last NPPES UpdateMay 7, 2008
✔ NPI 1467445619 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 MI · TG127054
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.
1221 6TH ST, Traverse City, MI 49684
Open in Google Maps ↗

Other Identifiers 3

Other381961572MI · Federal Tax Id Number
Medicaid4397291MI
Medicare PINB86021008MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Toni Renee Gaultier N.p. 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 ID4385722289
PECOS Enrollment IDI20080417000249
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.

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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

Other Providers at the Same Location NPPES 20

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

LORRAINE BEERS NP
Nurse Practitioner
1221 6TH ST, SUITE 206
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5090
SUSAN B TUTTLE NP
Nurse Practitioner
1221 6TH ST, SUITE 202
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5730
HARRY R BOROVIK MD PC
Otolaryngology
1221 6TH ST, SUITE 102
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3223
ROBERT M DOTTERRER MD
Surgery
1221 6TH ST, SUITE#200
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-2191
CARDIOTHORACIC SURGEONS
Nurse Practitioner
1221 6TH ST, SUITE 202
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5730
RICHARD G SMITH M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1221 6TH ST, SUITE 202
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5730
KAREN M SPEIRS DO
Internal Medicine (Infectious Disease)
1221 6TH ST, SUITE 206
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5090
RICHARD NORMAN TOOLEY M.D.
Surgery
1221 6TH ST, SUITE 306
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-2400

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 Gaultier's NPI number?

The NPI number for Toni Gaultier is 1467445619. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Toni Gaultier located?

Toni Gaultier practices at 1221 6th St Suite 306, Traverse City, MI 49684. The listed phone number is (231) 935-2400.

What is Toni Gaultier's specialty?

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

Is Toni Gaultier enrolled in Medicare?

Yes. Toni Gaultier 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 Toni Gaultier accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Toni Gaultier 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 Toni Gaultier affiliated with any hospitals?

According to CMS data, Toni Gaultier is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Toni Gaultier was last updated on May 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.