AMBER DAWN TOOLEY NP
NPI 1679234694
Nurse Practitioner in West Plains, MO

Active since January 03, 2022PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775(417) 256-9111 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amber Dawn Tooley Np NPPES

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

AMBER DAWN TOOLEY NP (NPI 1679234694) is an individual nurse practitioner in West Plains, Missouri, licensed in Missouri (2021050733) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Ozarks Healthcare, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679234694
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMBER DAWN TOOLEYCredential: NP
Location Address1100 N KENTUCKY AVEWest Plains, MO 65775-2029
Mailing Address1713 Amy StWest Plains, MO 65775-4312 · (417) 372-2428
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 3, 2022
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
NPI 1679234694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MO · 2021050733
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.
1100 N KENTUCKY AVE, West Plains, MO 65775

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

Amber Dawn Tooley 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 ID3678951779
PECOS Enrollment IDI20220601002916
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 5

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.
86 services64 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
70 services42 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.
33 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

Mercy St Francis Hospital

Critical Access Hospitals · Mountain View, MO
OwnershipVoluntary non-profit - Private
CMS Certification Number261335
Location100 West Highway 60, PO Box 82Mountain View, MO 65548 · Howell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65775 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40

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.

Physical Therapy Assistant
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Psychiatry & Neurology (Psychiatry)
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Occupational Therapist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Pharmacist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Orthopaedic Surgery
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Nurse Anesthetist, Certified Registered
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775
Occupational Therapist
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775

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 Amber Tooley's NPI number?

The NPI number for Amber Tooley is 1679234694. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Amber Tooley located?

Amber Tooley practices at 1100 N Kentucky Ave, West Plains, MO 65775. The listed phone number is (417) 256-9111.

What is Amber Tooley's specialty?

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

Is Amber Tooley enrolled in Medicare?

Yes. Amber Tooley 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 Amber Tooley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Amber Tooley 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 Amber Tooley affiliated with any hospitals?

According to CMS data, Amber Tooley is affiliated with Ozarks Healthcare and Mercy St Francis Hospital.

When was this NPI record last updated?

The NPPES record for Amber Tooley was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.