TONI ANDRADE
NPI 1619858644
Nurse Practitioner - Acute Care in Germantown, TN
About Toni Andrade NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONI ANDRADE (NPI 1619858644) is an individual acute care provider in Germantown, Tennessee, licensed in Tennessee (39914) and active in the NPI registry since September 2025. The provider is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Accepted 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
Toni Andrade 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.
Medicare Billing Reassignments
2Medicare enrollment records show Toni Andrade reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Germantown, TN 38138
- Reassigned Medicare billing, Mississippi and Tennessee enrollments
- 51 clinicians in this Medicare group
Memphis, TN 38125
- Reassigned Medicare billing, Tennessee enrollment
- 581 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Memorial Hospital
Acute Care Hospitals · Memphis, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38138 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
GERMANTOWN, TN 38138
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 Andrade's NPI number?
The NPI number for Toni Andrade is 1619858644. It was assigned to this individual provider in the NPPES registry on September 8, 2025.
Where is Toni Andrade located?
Toni Andrade practices at 2120 Exeter Rd Ste 250, Germantown, TN 38138. The listed phone number is (901) 767-5864.
What is Toni Andrade's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Toni Andrade enrolled in Medicare?
Yes. Toni Andrade 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 Toni Andrade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Toni Andrade reassigns Medicare benefits to 2 organizations: Memphis Lung Physicians Foundation, Inc. (Germantown, TN) and Baptist Memorial Medical Group Inc (Memphis, TN). 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 Toni Andrade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Toni Andrade accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Toni Andrade 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 Toni Andrade affiliated with any hospitals?
According to CMS data, Toni Andrade is affiliated with Baptist Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Toni Andrade was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Toni Andrade · NPI 1619858644
Acute Care physician in Germantown, Tennessee. Individual provider, active in the CMS NPPES registry since September 8, 2025.
## Identity
- **NPI:** 1619858644 (Entity type: Individual)
- **Enumerated:** September 8, 2025
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 39914 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2120 EXETER RD STE 250, Germantown, TN 38138-3931
- **Phone:** (901) 767-5864 · **Fax:** (901) 767-6591
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memphis Lung Physicians Foundation, Inc. (NPI 1811279656, Germantown, TN); Baptist Memorial Medical Group Inc (NPI 1306089206, Memphis, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619858644) · Data from the CMS NPPES public registry.