TONI MARIE HARMS FNP-C
NPI 1639643216
Nurse Practitioner - Family in Douglas, WY

Active since January 16, 2019PECOS EnrolledAccepts Medicare Assignment
71.67/100
CMS Quality Rating
700 E CENTER ST, DOUGLAS, WY 82633(307) 358-7300 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Toni Marie Harms Fnp-c NPPES

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

TONI MARIE HARMS FNP-C (NPI 1639643216) is an individual family provider in Douglas, Wyoming, licensed in Wyoming (F01190624) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Summit Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1639643216
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI MARIE HARMSCredential: FNP-C
Location Address700 E CENTER STDouglas, WY 82633-2446
Mailing Address1927 Park DrDouglas, WY 82633-3025 · (715) 579-8011
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 16, 2019
NPI 1639643216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WY · F01190624
700 E CENTER ST, Douglas, WY 82633

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 Marie Harms Fnp-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 ID3678815768
PECOS Enrollment IDI20190418002513
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 2

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 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.
41 services28 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
19 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Summit Medical Center

Acute Care Hospitals · Casper, WY
OwnershipPhysician
CMS Certification Number530034
Location6350 E 2nd StreetCasper, WY 82609 · Natrona County

Memorial Hospital Of Converse County

Critical Access Hospitals · Douglas, WY
OwnershipGovernment - Local
CMS Certification Number531302
Location111 South 5th StreetDouglas, WY 82633 · Converse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82633 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

71.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.21
Promoting Interoperability79
Improvement Activities40
Cost58.87

Referred Medical Equipment & Supplies CMS DME claims 7

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

Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
1 supplier14 claims57 services$23.74 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
1 supplier11 claims11 services$74.69 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier13 claims13 services$20.77 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier15 claims62 services$2.90 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier12 claims12 services$114.99 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier12 claims12 services$17.02 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 7

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

Family Medicine
700 E CENTER ST
DOUGLAS, WY 82633
Physician Assistant (Medical)
700 E CENTER ST
DOUGLAS, WY 82633
Obstetrics & Gynecology
700 E CENTER ST
DOUGLAS, WY 82633
Dietitian, Registered
700 E CENTER ST
DOUGLAS, WY 82633
Physician Assistant (Medical)
700 E CENTER ST
DOUGLAS, WY 82633
Internal Medicine
700 E CENTER ST
DOUGLAS, WY 82633
Dermatology
700 E CENTER ST
DOUGLAS, WY 82633

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 Harms's NPI number?

The NPI number for Toni Harms is 1639643216. It was assigned to this individual provider in the NPPES registry on January 16, 2019.

Where is Toni Harms located?

Toni Harms practices at 700 E Center St, Douglas, WY 82633. The listed phone number is (307) 358-7300.

What is Toni Harms's specialty?

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

Is Toni Harms enrolled in Medicare?

Yes. Toni Harms 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 Harms accept?

Health plans from Blue Cross Blue Shield of Wyoming, Medica and UnitedHealthcare list Toni Harms 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 Harms affiliated with any hospitals?

According to CMS data, Toni Harms is affiliated with Summit Medical Center and Memorial Hospital Of Converse County.

When was this NPI record last updated?

The NPPES record for Toni Harms was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.