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TONYA R GRIDER APRN, FNP-C
NPI 1477298818
Nurse Practitioner - Primary Care in Junction City, KS

Active since April 30, 2022PECOS EnrolledAccepts Medicare Assignment
96.6/100
CMS Quality Rating
1104 W ASH ST, JUNCTION CITY, KS 66441(785) 539-4644(785) 539-8010 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 10, 2024, Dec 14, 2022, Apr 30, 2022 (3 updates tracked since 2022).

About Tonya R Grider Aprn, Fnp-c NPPES

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

TONYA R GRIDER APRN, FNP-C (NPI 1477298818) is an individual primary care provider in Junction City, Kansas, licensed in Kansas (53-80756-122) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Stormont Vail Health Flint Hills, Llc, and maintains a secondary practice location in Manhattan.

NPPES Registry Identity

NPI1477298818
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTONYA R GRIDERCredential: APRN, FNP-C
Location Address1104 W ASH STJunction City, KS 66441-3600
Mailing Address200 Research DrManhattan, KS 66503-3049 · (785) 539-4644 · Fax (785) 539-8010
Phone(785) 539-4644
Fax(785) 539-8010
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 30, 2022
Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
✔ NPI 1477298818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in KS · 53-80756-122
1104 W ASH ST, Junction City, KS 66441
Open in Google Maps ↗

Other Names 1

Former Name (1)Tonya Rush

Secondary Practice Location 1

Location 1200 Research DrManhattan, KS 66503-3049 · Phone (785) 539-4644 · Fax (785) 539-8010

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter of Oklahoma 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 and accepts Medicare assignment

Tonya R Grider Aprn, Fnp-c 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 ID3577933951
PECOS Enrollment IDI20221229000531
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

3

Medicare enrollment records show Tonya Grider reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Manhattan Medical Group, LLC
17 mi
Interventional Cardiology
200 RESEARCH DR
Manhattan, KS 66503
  • Reassigned Medicare billing, Kansas enrollment
  • 15 clinicians in this Medicare group
NPI 1609138387 (785) 539-4644
Hospital District No 1 Marion Co
47 mi
Critical Access
535 S FREEBORN ST
Marion, KS 66861
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1144355793 (Kansas)
  • 23 clinicians in this Medicare group
NPI 1326087966 (620) 382-2177
Little Clinic Of Kansas LLC
94 mi
Family
7707 E CENTRAL AVE
Wichita, KS 67206
  • Reassigned Medicare billing, Kansas enrollment
  • 72 clinicians in this Medicare group
NPI 1821483132 (316) 651-2500

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 4

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.
138 services119 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
74 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Stormont Vail Health Flint Hills, LLC

Acute Care Hospitals · Junction City, KS
OwnershipGovernment - Local
CMS Certification Number170074
Location1102 St Mary's RoadJunction City, KS 66441 · Geary County
Emergency services Birthing friendly

Overland Park Reg Med Ctr

Acute Care Hospitals · Overland Park, KS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number170176
Location10500 Quivira RoadOverland Park, KS 66215 · Johnson County
Emergency services Birthing friendly

Morris County Hospital

Critical Access Hospitals · Council Grove, KS
OwnershipGovernment - Local
CMS Certification Number171379
Location600 N Washington StCouncil Grove, KS 66846 · Morris County

Memorial Hospital

Critical Access Hospitals · Abilene, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171381
Location511 NE 10th StAbilene, KS 67410 · Dickinson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66441 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.24
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

ADREECE SANDERS APRN
Nurse Practitioner (Family)
1104 W ASH ST
JUNCTION CITY, KS 66441
Geary County (785) 539-4644

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 Grider's NPI number?

The NPI number for Tonya Grider is 1477298818. It was assigned to this individual provider in the NPPES registry on April 30, 2022. The provider is also known as Tonya Rush.

Where is Tonya Grider located?

Tonya Grider practices at 1104 W Ash St, Junction City, KS 66441. The listed phone number is (785) 539-4644.

What is Tonya Grider's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Tonya Grider enrolled in Medicare?

Yes. Tonya Grider 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 organizations bill Medicare for Tonya Grider's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Grider reassigns Medicare benefits to 3 organizations: Manhattan Medical Group, LLC (Manhattan, KS), Hospital District No 1 Marion Co (Marion, KS) and Little Clinic Of Kansas LLC (Wichita, 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 Tonya Grider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Grider accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma, Blue Cross and Blue Shield of Kansas, Inc. and Oscar Insurance Company and 1 other insurer list Tonya Grider 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 Grider affiliated with any hospitals?

According to CMS data, Tonya Grider is affiliated with Stormont Vail Health Flint Hills, LLC, Overland Park Reg Med Ctr, Morris County Hospital and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tonya Grider was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.