TONYA KAY HADDEN APRN
NPI 1700258589
Nurse Practitioner - Family in Winchester, KY

Active since October 20, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
225 HOSPITAL DR, WINCHESTER, KY 40391(859) 737-6481(859) 737-6640 Get Directions Write a Review

NPPES record last updated: January 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2021, Feb 21, 2017 (2 updates tracked since 2017).

About Tonya Kay Hadden Aprn NPPES

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

TONYA KAY HADDEN APRN (NPI 1700258589) is an individual family provider in Winchester, Kentucky, licensed in Kentucky (3009554) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1700258589
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONYA KAY HADDENCredential: APRN
Location Address225 HOSPITAL DRWinchester, KY 40391-7604
Mailing Address225 Hospital DrWinchester, KY 40391-7604 · (859) 737-6481 · Fax (859) 737-6640
Fax(859) 737-6640
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 20, 2015
Last NPPES UpdateJanuary 14, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2021
NPI 1700258589 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 · 3009554
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3009554 (KY)
225 HOSPITAL DR, Winchester, KY 40391

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

Tonya Kay Hadden Aprn 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 ID8426368945
PECOS Enrollment IDI20151112000322
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.

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.
78 services76 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.
15 services15 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40391 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Obstetrics & Gynecology
225 HOSPITAL DR, BLDG B, STE 255
WINCHESTER, KY 40391
Obstetrics & Gynecology
225 HOSPITAL DR, BLDG B, STE 255
WINCHESTER, KY 40391
Physician Assistant
225 HOSPITAL DR
WINCHESTER, KY 40391
Pediatrics
225 HOSPITAL DR, STE 200C
WINCHESTER, KY 40391
Internal Medicine (Gastroenterology)
225 HOSPITAL DR, SUITE 200B
WINCHESTER, KY 40391
Obstetrics & Gynecology
225 HOSPITAL DR, BLDG B, STE 255
WINCHESTER, KY 40391
Surgery
225 HOSPITAL DR
WINCHESTER, KY 40391
Internal Medicine (Cardiovascular Disease)
225 HOSPITAL DR, SUITE 300A
WINCHESTER, KY 40391

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 Tonya Hadden's NPI number?

The NPI number for Tonya Hadden is 1700258589. It was assigned to this individual provider in the NPPES registry on October 20, 2015.

Where is Tonya Hadden located?

Tonya Hadden practices at 225 Hospital Dr, Winchester, KY 40391. The listed phone number is (859) 737-6481.

What is Tonya Hadden's specialty?

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

Is Tonya Hadden enrolled in Medicare?

Yes. Tonya Hadden 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 Tonya Hadden accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Tonya Hadden 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 Tonya Hadden was last updated on January 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.