1. Home
  2. Directory
  3. Texas
  4. San Angelo
  5. Nurse Practitioner
  6. NPI Profile

TOBY REDDEN CNP
NPI 1780091652
Nurse Practitioner in San Angelo, TX

Active since July 12, 2014PECOS EnrolledAccepts Medicare Assignment
95.75/100
CMS Quality Rating
1901 JOHNSON AVE, SAN ANGELO, TX 76904(325) 942-2171(325) 942-2133 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Toby Redden Cnp NPPES

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

TOBY REDDEN CNP (NPI 1780091652) is an individual nurse practitioner in San Angelo, Texas, licensed in Texas (AP129004) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1780091652
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTOBY REDDENCredential: CNP
Location Address1901 JOHNSON AVESan Angelo, TX 76904-5048
Mailing AddressPo Box 22000San Angelo, TX 76902-7200 · (325) 658-1511
Phone(325) 942-2171
Fax(325) 942-2133
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 12, 2014
Last NPPES UpdateMay 16, 2016
✔ NPI 1780091652 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 TX · AP129004
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.
1901 JOHNSON AVE, San Angelo, TX 76904
Open in Google Maps ↗

Other Identifiers 1

Other8163NTTX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Toby Redden Cnp 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 ID143542027
PECOS Enrollment IDI20151015001045
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 Toby Redden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Employee Assistance Program Inc
1.6 mi
Family Medicine
2142 SUNSET DR
San Angelo, TX 76904
  • Reassigned Medicare billing, Texas enrollment
  • 318 clinicians in this Medicare group
NPI 1124080320 (325) 245-4000
Shannon Clinic
2.3 mi
Family Medicine
120 E BEAUREGARD AVE
San Angelo, TX 76903
  • Reassigned Medicare billing, Texas enrollment
  • 671 clinicians in this Medicare group
NPI 1770587149 (325) 658-1511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
156 services136 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.
58 services56 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450571
Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County
Emergency services Birthing friendly

Reagan Memorial Hospital

Critical Access Hospitals · Big Lake, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451301
Location1300 N Main AvenueBig Lake, TX 76932 · Reagan County
Emergency services

Concho County Hospital

Critical Access Hospitals · Eden, TX
OwnershipGovernment - Local
CMS Certification Number451325
Location614 Eaker StreetEden, TX 76837 · Concho County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76904 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

95.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40

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 Toby Redden's NPI number?

The NPI number for Toby Redden is 1780091652. It was assigned to this individual provider in the NPPES registry on July 12, 2014.

Where is Toby Redden located?

Toby Redden practices at 1901 Johnson Ave, San Angelo, TX 76904. The listed phone number is (325) 942-2171.

What is Toby Redden's specialty?

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

Is Toby Redden enrolled in Medicare?

Yes. Toby Redden 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 Toby Redden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toby Redden reassigns Medicare benefits to 2 organizations: Regional Employee Assistance Program Inc (San Angelo, TX) and Shannon Clinic (San Angelo, TX). 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 Toby Redden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Toby Redden accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Toby Redden 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 Toby Redden affiliated with any hospitals?

According to CMS data, Toby Redden is affiliated with Shannon Medical Center, Reagan Memorial Hospital and Concho County Hospital.

When was this NPI record last updated?

The NPPES record for Toby Redden was last updated on May 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.