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TONI P PLUMMER PMHNP
NPI 1780166249
Nurse Practitioner - Psychiatric/Mental Health in Norfolk, VA

Active since August 31, 2018PECOS EnrolledAccepts Medicare Assignment
400 GRESHAM DR STE 301, NORFOLK, VA 23507(757) 668-8866(757) 668-8870 Get Directions Write a Review

NPPES record last updated: August 31, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Toni P Plummer Pmhnp NPPES

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

TONI P PLUMMER PMHNP (NPI 1780166249) is an individual psychiatric/mental health provider in Norfolk, Virginia, licensed in Virginia (0024176548) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780166249
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTONI P PLUMMERCredential: PMHNP
Location Address400 GRESHAM DR STE 301Norfolk, VA 23507-1901
Mailing Address400 Gresham Dr Ste 301Norfolk, VA 23507-1901 · (757) 668-8866 · Fax (757) 668-8870
Phone(757) 668-8866
Fax(757) 668-8870
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 31, 2018
✔ NPI 1780166249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024176548
400 GRESHAM DR STE 301, Norfolk, VA 23507
Open in Google Maps ↗

Other Names 1

Former Name (1)Toni L Sabia

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 P Plummer Pmhnp 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 ID9234473422
PECOS Enrollment IDI20241115002904
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

3

Medicare enrollment records show Toni Plummer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Childrens Specialty Group PLLC
0.2 mi
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007
Hampton Newport News Community Services Board
14 mi
Community/Behavioral Health
300 MEDICAL DRIVE, 2ND FLOOR
Hampton, VA 23666
  • Reassigned Medicare billing, Virginia enrollment
  • 70 clinicians in this Medicare group
NPI 1659424448 (757) 788-0300
Harmony United Florida, LLC
651 mi
Psychiatry
15544 W COLONIAL DR
Winter Garden, FL 34787
  • Reassigned Medicare billing, Florida enrollment
  • 136 clinicians in this Medicare group
NPI 1063842870 (352) 431-3940

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 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.
94 services31 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
53 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services23 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.
32 services19 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23507 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Plummer's NPI number?

The NPI number for Toni Plummer is 1780166249. It was assigned to this individual provider in the NPPES registry on August 31, 2018. The provider is also known as Toni L Sabia.

Where is Toni Plummer located?

Toni Plummer practices at 400 Gresham Dr Ste 301, Norfolk, VA 23507. The listed phone number is (757) 668-8866.

What is Toni Plummer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Toni Plummer enrolled in Medicare?

Yes. Toni Plummer 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 Plummer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Toni Plummer reassigns Medicare benefits to 3 organizations: Childrens Specialty Group PLLC (Norfolk, VA), Hampton Newport News Community Services Board (Hampton, VA) and Harmony United Florida, LLC (Winter Garden, FL). 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 Plummer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Toni Plummer was last updated on August 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.