TONI G VERHEY
NPI 1730652736
Nurse Practitioner - Family in Muskegon, MI

Active since January 02, 2019PECOS EnrolledAccepts Medicare Assignment
2201 S GETTY ST, MUSKEGON, MI 49444(231) 739-9315 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 28, 2020, Jan 2, 2019 (2 updates tracked since 2019).

About Toni G Verhey NPPES

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

TONI G VERHEY (NPI 1730652736) is an individual family provider in Muskegon, Michigan, licensed in Michigan (4704273350) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1730652736
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI G VERHEY
Location Address2201 S GETTY STMuskegon, MI 49444-1207
Mailing Address11620 Everett AveAllendale, MI 49401-7412 · (616) 648-1804
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 2, 2019
Last NPPES UpdateFebruary 28, 20202 updates tracked since enumeration
✔ NPI 1730652736 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 MI · 4704273350
2201 S GETTY ST, Muskegon, MI 49444

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 G Verhey 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 ID8820338130
PECOS Enrollment IDI20190325001215
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Toni Verhey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
6401 PRAIRIE ST STE 1700
Norton Shores, MI 49444
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
50 INDUSTRIAL PARK DR
Bangor, MI 49013
  • Reassigned Medicare billing, Michigan enrollment
  • 101 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.

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Nurse Practitioner (Family)
2201 S GETTY ST
MUSKEGON, MI 49444
Social Worker
2201 S GETTY ST
MUSKEGON, MI 49444
Community Health Worker
2201 S GETTY ST
MUSKEGON HEIGHTS, MI 49444
Dentist (General Practice)
2201 S GETTY ST
MUSKEGON, MI 49444
Physician Assistant
2201 S GETTY ST
MUSKEGON HEIGHTS, MI 49444
Advanced Practice Midwife
2201 S GETTY ST
MUSKEGON, MI 49444
Social Worker
2201 S GETTY ST
MUSKEGON, MI 49444
Registered Nurse
2201 S GETTY ST
MUSKEGON HEIGHTS, MI 49444

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 Verhey's NPI number?

The NPI number for Toni Verhey is 1730652736. It was assigned to this individual provider in the NPPES registry on January 2, 2019.

Where is Toni Verhey located?

Toni Verhey practices at 2201 S Getty St, Muskegon, MI 49444. The listed phone number is (231) 739-9315.

What is Toni Verhey's specialty?

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

Is Toni Verhey enrolled in Medicare?

Yes. Toni Verhey 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 Verhey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Verhey reassigns Medicare benefits to 2 organizations: Lakes Obgyn Specialist (Norton Shores, MI) and Intercare Community Health Network (Bangor, MI). 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 Verhey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toni Verhey accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Toni Verhey 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 Verhey affiliated with any hospitals?

According to CMS data, Toni Verhey is affiliated with Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Toni Verhey was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.