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TONI DELAGARDELLE ARNP
NPI 1477106730
Nurse Practitioner - Pediatrics in Waterloo, IA

Active since July 16, 2019PECOS Enrolled
905 FRANKLIN ST, WATERLOO, IA 50703(319) 874-3000(319) 874-3411 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 20, 2019, Aug 8, 2019, Jul 16, 2019 (3 updates tracked since 2019).

About Toni Delagardelle Arnp NPPES

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

TONI DELAGARDELLE ARNP (NPI 1477106730) is an individual pediatrics provider in Waterloo, Iowa, licensed in Iowa (C154088) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477106730
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTONI DELAGARDELLECredential: ARNP
Location Address905 FRANKLIN STWaterloo, IA 50703-4407
Mailing Address5055 Prairie Ridge AveMarion, IA 52302-9027 · (319) 360-3721
Phone(319) 874-3000
Fax(319) 874-3411
Sole ProprietorNo
Enumeration DateJuly 16, 2019
Last NPPES UpdateJune 2, 20223 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
✔ NPI 1477106730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in IA · C154088✔ Licensed in WI · 9421
Also ListedNurse PractitionerTaxonomy 363L00000X · License 9421 (WI)
905 FRANKLIN ST, Waterloo, IA 50703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Medica and more.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 Delagardelle Arnp 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 Delagardelle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Peoples Community Health Clinic, Inc.
Same address
Federally Qualified Health Center (FQHC)
905 FRANKLIN ST
Waterloo, IA 50703
  • Reassigned Medicare billing, Iowa enrollment
  • 46 clinicians in this Medicare group
NPI 1093703639 (319) 272-4300
Progressive Community Health Centers, Inc.
226 mi
Federally Qualified Health Center (FQHC)
3522 W LISBON AVE
Milwaukee, WI 53208
  • Reassigned Medicare billing, Wisconsin enrollment
  • 50 clinicians in this Medicare group
NPI 1720153653 (414) 935-8000

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 50703 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 20

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

DIANNA KAY MAGGINETTI ARNP
Nurse Practitioner (Psychiatric/Mental Health)
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 874-3000
RAJANI UPPALA MD
Pediatrics
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300
STEPHANIE CHAMBERLIN RDH
Dental Hygienist
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300
SEJLA CEJVANOVIC ARNP
Family Medicine
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 874-3000
JIM HOEFT
Counselor (Addiction (Substance Use Disorder))
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300
TERESA BORING
Dietitian, Registered
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300
MERRY OELMANN ARNP
Nurse Practitioner
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300
AMY RUEBER PHARMD
Pharmacist
905 FRANKLIN ST
WATERLOO, IA 50703
Black Hawk County (319) 272-4300

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 Delagardelle's NPI number?

The NPI number for Toni Delagardelle is 1477106730. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Toni Delagardelle located?

Toni Delagardelle practices at 905 Franklin St, Waterloo, IA 50703. The listed phone number is (319) 874-3000.

What is Toni Delagardelle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Toni Delagardelle enrolled in Medicare?

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

Which organizations bill Medicare for Toni Delagardelle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Delagardelle reassigns Medicare benefits to 2 organizations: Peoples Community Health Clinic, Inc. (Waterloo, IA) and Progressive Community Health Centers, Inc. (Milwaukee, WI). 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 Delagardelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Delagardelle accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Medica, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Toni Delagardelle 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 Delagardelle was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.