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MISS TONYA JO KINSINGER MSN, APRN, AGPCNP-C
NPI 1538577416
Nurse Practitioner in Gilbert, AZ

Active since July 23, 2014PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234(480) 256-6444(480) 256-3359 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2025, Jan 5, 2017 (2 updates tracked since 2017).

About Miss Tonya Jo Kinsinger Msn, Aprn, Agpcnp-c NPPES

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

MISS TONYA JO KINSINGER MSN, APRN, AGPCNP-C (NPI 1538577416) is an individual nurse practitioner in Gilbert, Arizona, licensed in Arizona (AP9599) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2014).

NPPES Registry Identity

NPI1538577416
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS TONYA JO KINSINGERCredential: MSN, APRN, AGPCNP-C
Location Address2946 E BANNER GATEWAY DRGilbert, AZ 85234-2165
Mailing Address2946 E Banner Gateway DrGilbert, AZ 85234-2165 · (480) 256-6444 · Fax (480) 256-3359
Phone(480) 256-6444
Fax(480) 256-3359
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2014
Enumeration DateJuly 23, 2014
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
✔ NPI 1538577416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in AZ · AP9599✔ Licensed in GA · RN239541
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.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN239541 (GA), AP9599 (AZ)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP9599 (AZ), RN239541 (GA)
2946 E BANNER GATEWAY DR, Gilbert, AZ 85234
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. 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

Miss Tonya Jo Kinsinger Msn, Aprn, Agpcnp-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 ID8426277435
PECOS Enrollment IDI20161122001437
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 3

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 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.
234 services115 patients
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.
85 services61 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

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.

SOYOUNG PARK MD
Internal Medicine (Hematology & Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. AKSHAAR BRAHMBHATT MD
Radiology (Vascular & Interventional Radiology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
THERESA ONG LIU DUMLAO MD
Internal Medicine (Hematology & Oncology)
2946 E BANNER GATEWAY DR, SUITE 450
GILBERT, AZ 85234
Maricopa County (480) 256-6444
DR. ZACHARY PHILLIP YEUNG MD
Internal Medicine (Medical Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 245-6444
MICHAEL J POGGE AGACNP-BC
Nurse Practitioner (Acute Care)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
RICHARD D SUE MD
Internal Medicine (Pulmonary Disease)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
MRS. ALEXANDRIA NICOLE BARNES PA-C
Physician Assistant (Medical)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444
ASHLEY JOHNSON KELLER PA-C
Physician Assistant
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Maricopa County (480) 256-6444

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 Kinsinger's NPI number?

The NPI number for Tonya Kinsinger is 1538577416. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Tonya Kinsinger located?

Tonya Kinsinger practices at 2946 E Banner Gateway Dr, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Tonya Kinsinger's specialty?

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

Is Tonya Kinsinger enrolled in Medicare?

Yes. Tonya Kinsinger 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 Kinsinger accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Tonya Kinsinger 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 Tonya Kinsinger was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.