MRS. TOBY RACHELLE ENGLAND NP
NPI 1548211410
Nurse Practitioner - Family in Glasgow, KY

Q: What is Toby England's NPI number?

The NPI number for Toby England is 1548211410. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Q: What is Toby England's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Toby England was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment

310 N L ROGERS WELLS BLVD, GLASGOW, KY 42141(270) 659-5555 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2023, Mar 1, 2023 (2 updates tracked since 2023).

On this page

About Mrs. Toby Rachelle England Np NPPES

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

MRS. TOBY RACHELLE ENGLAND NP (NPI 1548211410) is an individual family provider in Glasgow, Kentucky, licensed in Kentucky (4736P) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1548211410

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. TOBY RACHELLE ENGLANDCredential: NP

Location Address310 N L ROGERS WELLS BLVDGlasgow, KY 42141-1300

Mailing Address370 Beaver Mound CirGlasgow, KY 42141-8731 · (270) 404-5685

Phone(270) 659-5555

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 15, 2006

Last NPPES UpdateMarch 10, 20232 updates tracked since enumeration

NPPES CertifiedMarch 10, 2023

✔ NPI 1548211410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 4736P

Also ListedNurse PractitionerTaxonomy 363L00000X · License 3004736 (KY)

310 N L ROGERS WELLS BLVD, Glasgow, KY 42141

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Other Identifiers 3

Medicaid78015914KY

Other000000893211KY · Anthem

Other11553741KY · Caqh

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

Mrs. Toby Rachelle England Np 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 ID7810919719

PECOS Enrollment IDI20051220000400

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

242 services222 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

84 services83 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180017

Location1301 North Race StreetGlasgow, KY 42141 · Barren County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42141 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $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.

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.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)

Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis

Lower rates are better for this measure.

5%22 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CARLOS ENRIQUE KUMMERFELDT FABIAN M.D.

Internal Medicine (Pulmonary Disease)