TONI L CANIGLIA N.P.
NPI 1487650677
Nurse Practitioner in Fresno, CA

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
91.94/100
CMS Quality Rating
7471 N FRESNO ST, FRESNO, CA 93720(559) 436-4500(559) 261-1526 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Toni L Caniglia N.p. NPPES

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

TONI L CANIGLIA N.P. (NPI 1487650677) is an individual nurse practitioner in Fresno, California, licensed in California (9152) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1487650677
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTONI L CANIGLIACredential: N.P.
Location Address7471 N FRESNO STFresno, CA 93720-2457
Mailing Address7471 N Fresno StFresno, CA 93720-2457 · (559) 436-4500 · Fax (559) 261-1526
Fax(559) 261-1526
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 22, 2005
Last NPPES UpdateMarch 28, 2016
NPI 1487650677 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 CA · 9152
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.
7471 N FRESNO ST, Fresno, CA 93720

Other Identifiers 2

Medicare PINZZZ21572ZCA
MedicaidGR0043790CA

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 L Caniglia 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 ID8123932332
PECOS Enrollment IDI20031112000800
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 12

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,570 services18 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
570 services19 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.
326 services228 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
270 services49 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
227 services160 patients
Evaluation of use of breathing device 94664
The evaluation of a breathing device involves checking how effectively you're using it to manage your respiratory condition. It assesses the device's fit, your comfort, and your technique to ensure optimal results.
206 services151 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

91.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.63
Promoting Interoperability94
Improvement Activities40
Cost65.83

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$2.49 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
16 suppliers23 claims5,120 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
14 suppliers19 claims19 services$23.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
7471 N FRESNO ST
FRESNO, CA 93720
Physician Assistant
7471 N FRESNO ST
FRESNO, CA 93720
Nurse Practitioner (Family)
7471 N FRESNO ST
FRESNO, CA 93720
Nurse Practitioner (Family)
7471 N FRESNO ST
FRESNO, CA 93720
Physician Assistant (Medical)
7471 N FRESNO ST
FRESNO, CA 93720
Internal Medicine (Allergy & Immunology)
7471 N FRESNO ST
FRESNO, CA 93720
Allergy & Immunology (Allergy)
7471 N FRESNO ST
FRESNO, CA 93720
Physician Assistant (Medical)
7471 N FRESNO ST
FRESNO, CA 93720

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 Caniglia's NPI number?

The NPI number for Toni Caniglia is 1487650677. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Toni Caniglia located?

Toni Caniglia practices at 7471 N Fresno St, Fresno, CA 93720. The listed phone number is (559) 436-4500.

What is Toni Caniglia's specialty?

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

Is Toni Caniglia enrolled in Medicare?

Yes. Toni Caniglia 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.

When was this NPI record last updated?

The NPPES record for Toni Caniglia was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.