TONI DENISE SANCHEZ NURSE PRACTITIONER
NPI 1588195754
Nurse Practitioner - Psychiatric/Mental Health in Fort Myers, FL

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
79.4/100
CMS Quality Rating
13607 PINE VILLA LN, FORT MYERS, FL 33912(239) 410-3389 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 18, 2026, Mar 3, 2026, Dec 5, 2025 and 1 more (4 updates tracked since 2017).

About Toni Denise Sanchez Nurse Practitioner NPPES

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

TONI DENISE SANCHEZ NURSE PRACTITIONER (NPI 1588195754) is an individual psychiatric/mental health provider in Fort Myers, Florida, licensed in Florida (APRN9252646) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1588195754
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTONI DENISE SANCHEZCredential: NURSE PRACTITIONER
Location Address13607 PINE VILLA LNFort Myers, FL 33912-1617
Mailing Address10812 Essex Square BlvdFort Myers, FL 33913-2637
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 21, 2017
Last NPPES UpdateMarch 18, 20264 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
NPI 1588195754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in FL · APRN9252646
Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP9252646 (FL), APRN9252646 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN9252646 (FL)
13607 PINE VILLA LN, Fort Myers, FL 33912

Other Identifiers 1

Medicaid020575600FL

Accepted 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

Toni Denise Sanchez Nurse Practitioner 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 ID3476830332
PECOS Enrollment IDI20170502000002
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 7

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,070 services436 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
235 services107 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
230 services213 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
230 services208 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
200 services113 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
99 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

79.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.57
Improvement Activities40
Cost40.97

Other Providers at the Same Location NPPES 12

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

Hospitalist
13607 PINE VILLA LN
FORT MYERS, FL 33912
Internal Medicine
13607 PINE VILLA LN
FORT MYERS, FL 33912
Internal Medicine
13607 PINE VILLA LN
FORT MYERS, FL 33912
Internal Medicine
13607 PINE VILLA LN
FORT MYERS, FL 33912
Internal Medicine
13607 PINE VILLA LN
FORT MYERS, FL 33912
Internal Medicine
13607 PINE VILLA LN
FORT MYERS, FL 33912
Internal Medicine
13607 PINE VILLA LN
FORT MYERS, FL 33912
Internal Medicine
13607 PINE VILLA LN
FORT MYERS, FL 33912

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 Sanchez's NPI number?

The NPI number for Toni Sanchez is 1588195754. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Toni Sanchez located?

Toni Sanchez practices at 13607 Pine Villa Ln, Fort Myers, FL 33912. The listed phone number is (239) 410-3389.

What is Toni Sanchez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Toni Sanchez enrolled in Medicare?

Yes. Toni Sanchez 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 Toni Sanchez accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan and 1 other insurer list Toni Sanchez 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 Sanchez was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.